to the May 2016 Digital Edition
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to the May 2016 Digital Edition
C A N A D A’ S I N S U R A N C E A N D R I S K M A G A Z I N E . C A N A D I A N U N D E R W R I T E R . C A M AY 2 0 1 6 PM#40063170 Tired of Losses BY GREG MECKBACH Tribunal Tribulations BY WILLIE HANDLER Bona Fide Discrimination BY DANIEL STRIGBERGER & JENNA METH We believe actions speak louder than words. Our customers agree. Our knowledgeable and caring claims professionals are some of the best in the business, consistently earning kudos from 9 out of 10 customers in post-claim surveys for the past decade. Don’t just take our word for it. See what our customers have to say. economicalinsurance.com/stories property | auto | business The Economical brand includes the following property and casualty insurance companies: Economical Mutual Insurance Company, Perth Insurance Company, Waterloo Insurance Company, The Missisquoi Insurance Company. ©2016 Economical Insurance. All rights reserved. All Economical intellectual property, including but not limited to Economical® and related trademarks, names and logos are the property of Economical Mutual Insurance Company and/or its subsidiaries and/or affiliates and are registered and/or used in Canada. All other intellectual property is the property of their respective owners. CANADIAN UNDERWRITER VOL. 83, NO. 5, May 2016 Canada’s Insurance and Risk Magazine. Published by newcom business media inc. www.canadianunderwriter.ca Cover Story Tired of Losses 26 Distraction and driver fatigue are high on the radar screen for commercial auto insurers, and while drunkeness may not account for a significant percentage of losses, one insurance expert contends guidance is needed on testing employees, in safety sensitive positions, for intoxication. By Greg Meckbach features 12 40 Catastrophic Impairment Vehicle Modifications For auto claims occurring on or after June 1, Ontario’s criteria, for catastrophic impairment, will use the Glasgow Outcome Scale. Modifications to commercial vehicles can have an impact on safety, severity of claims, the environment and insurance coverage. By Marc Smith By Mandip Hullait 36 Ethics Series: Liability Coverage Brokers advising corporate clients on liability coverage should never assume they know all precedents and settlements. By The CIP Society 42 16 Dispute Resolution 24 Future Benefits Ontario’s Licence Appeal Tribunal Automobile Accident Benefits Service will be different in some respects from how the Financial Services Commission of Ontario handled auto claims disputes. The Court of Appeal for Ontario’s ruling in Basandra v. Sforza was good news for the insurance industry. The issue was over the deductibility, from tort awards, of accident benefits payments. By Willie Handler By Matthew Owen 20 IBC Financial Affairs Symposium 47 Mergers & Acquisitions Earthquake risk, offshore tax havens and OSFI corporate governance guidance were among the topics of discussion at Insurance Bureau of Canada’s 20th Annual Financial Affairs Symposium. Industry consolidation in the property and casualty insurance industry is expected to continue in 2016, and while acquisitions may help insurers fill gaps in their businesses, they need to consider integration plans. By Greg Meckbach By Janice Deganis & Ron Stokes Discriminatory Criteria Could telematics and online databases give carriers an alternative to age and gender in rating auto clients? By Daniel Strigberger & Jenna Meth May 2016 Canadian Underwriter 3 Editor [email protected] PROFILE PROFILE Senior Publisher [email protected] Angela Stelmakowich Steve Wilson Canadian Underwriter’s Insurance Media Group committed Underwriter’s Insurance Media is committed (416) 510-6793 Group @InsuranceMedia the industry, providing marketers with aTwitter: range ofis specialized [email protected] [email protected] (416) 510-6800 (416) 510-6793 Twitter: @InsuranceMedia Associate Editor timely to providing the most and relevant news, information to providing the most timely and relevant news, information and highly effective marketing communications opportunities. Editor VOL. . 2, FEBRUARY 2014 VOL. 81, 81, NO. NO. 2, 2, FEBRUARY FEBRUARY 2014 2014 Canadian PROFILE PROFILE Senior Publisher Editor Senior Publisher EditorMeckbach Senior Publisher (416) 510-6800 Greg Art Director Associate Editor Angela Stelmakowich Steve Wilson Angela Stelmakowich Steve Wilson Angela Stelmakowich Steve Wilson and resources to insurance professionals from all segments of resources professionals from all segments of [email protected] Gerald Heydens Editor Senior Publisher Editorto insurance Senior Publisher EditorMeckbach Senior Publisher Greg Art Director [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] Twitter: @CU_Greg VOL. 83, NO. 5, May 2016 Angela Stelmakowich Steve Wilson Angela Stelmakowich Steve Wilson Angela Stelmakowich Steve Wilson [email protected] Gerald Heydens Consultation (416) 510-6793 Twitter: @InsuranceMedia (416) 510-6793 @InsuranceMedia (416) 510-6793 the marketers industry, providing marketers with aArt range of specialized Twitter: @InsuranceMedia the industry, providing with aTwitter: range of specialized (416) 510-6796 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] PROFILE Twitter: @CU_Greg Sascha Hass (416) 510-6800 (416) 510-6800 (416) 510-6800 Art Consultation (416) 510-6793 Twitter: (416) 510-6793 Twitter: @InsuranceMedia Associate Editor (416) 510-6796 510-6793 Associate Editor Twitter: @InsuranceMedia @InsuranceMedia Associate Editor (416) Online Editor and highly effective marketing communications opportunities. and highly effective marketing communications opportunities. EditorMeckbach Senior Publisher Sascha Hass Canadian Underwriter’s Insurance Media Group is committed Production Manager profile (416) 510-6800 (416) 510-6800 Greg Art Director Greg Meckbach (416) 510-6800 Art Director Greg Meckbach Art Director Harmeet Singh Editor Associate Editor Senior Publisher Associate Editor Associate Editor Angela Stelmakowich Steve Wilson Online Editor Gerald Heydens Gary White [email protected] to providing the most timely and relevant Gerald Heydens [email protected] [email protected] Gerald Heydens [email protected] Angela Stelmakowich Production Manager news, information Steve Wilson Greg Meckbach Art Director Greg Meckbach Art Director Greg Meckbach Art Director [email protected] [email protected] Harmeet Singh (416) 510-6760 from all segments of Twitter: @CU_Greg Twitter: @CU_Greg [email protected] Twitter: @CU_Greg [email protected] and resources to insurance professionals Twitter: @CU_Harmeet Gary White [email protected] Gerald Heydens [email protected] Gerald Heydens [email protected] Art Consultation Gerald Heydens Art Consultation (416) 510-6793 510-6793 Twitter: @InsuranceMedia Art Consultation [email protected] (416) 510-6800 (416)510-6796 (416) (416) 510-6796 (416) 510-6796 (416) 442-5600 ext. 3652 the industry, providing marketers with a rangeService of specialized (416) 510-6760 Subscriptions/Customer Twitter: @CU_Greg National Twitter: @CU_Greg Twitter: @CU_Greg Sascha Hass Sascha Hass (416) 510-6800 Sascha Hass Twitter: @CU_Harmeet Art Director Art Art Consultation Art Consultation Consultation Editor Associate Associate Editor Gail Page (416) 510-6796 (416) 510-6796 and highly effective marketing communications opportunities. Online Editor (416) 510-6796 Online Editor Online Editor Claims (416) 442-5600 ext. 3652 Associate Publisher Gerald Heydens Subscriptions/Customer Service Greg Meckbach Sascha Hass Canadian Underwriter’s Media isis committed Sascha Hass Canadian Underwriter’s Insurance Media Group is committed Production Manager Sascha Hass Greg Meckbach Production Manager Canadian Underwriter’s Insurance Media Group Group committed ArtInsurance Director Production Manager 14 Leading by Example [email protected] Harmeet Singh Harmeet Singh Harmeet Singh [email protected] Paul Aquino Gail Page Art Consultation Online Editor Manual Online Editor Online Editor Gary White [email protected] Gary White Gerald Heydens Gary White to providing the most timely and relevant news, information to providing the most timely and relevant news, information Associate Publisher to providing the most timely and relevant news, information James Cameron, president of (416) 510-5187 [email protected] (416) 510-6796 [email protected]@canadianunderwriter.ca Production Manager Production Manager [email protected] Production Manager 14 Leading by Example Sascha Hass [email protected] Harmeet Singh InsuranceMarketer.com Harmeet Singh Harmeet Singh (416) 510-6760 Twitter: @CU_Greg (416)professionals 510-6760 (416) 510-6760 Paul Aquino and professionals from insurance from to all segments of Cameron & Associates and resources resources to insurance insurance professionals from all all segments segments of of Twitter: @CU_Harmeet Twitter: @CU_Harmeet and resources Gary White Gary White Twitter: @CU_Harmeet Online to Editor Gary White Art Consultation Twitter: @InsuranceCanuk James Cameron, president of (416) 510-5187 Circulation Manager [email protected] Production Manager [email protected]@canadianunderwriter.ca [email protected] (416) 510-6796 Jason Contant (416) 442-5600 ext. 3652 Insurance Consultants Limited, the industry, providing marketers with a range of specialized (416) 442-5600 ext. 3652 (416) 510-6760 the industry, providing marketers with a range of specialized (416) 510-6760 (416) 442-5600 ext. 3652 Subscriptions/Customer Service the industry, providing marketers with a range of specialized (416) 510-6760 Sascha Hass Subscriptions/Customer Service National Subscriptions/Customer Service (416) 510-6788 Karen Samuels Cameron & Associates Mary Garufi Twitter: @CU_Harmeet Twitter: @CU_Harmeet National Twitter: @CU_Harmeet [email protected] Twitter: @InsuranceCanuk Circulation Manager Online Editor (416) 510-5190 was recognized by the CIP Gail Page Gail Page and highly marketing communications opportunities. Gail Page andClaims highly effective marketing communications opportunities. andClaims highly effective effective marketing communicationsService opportunities. [email protected] (416) 442-5600 ext. 3652 Insurance Consultants Limited, (416) 442-5600 ext. 3652 (416) 442-5600, Ext. 3652 Associate Publisher (416) 442-5600 ext. 3652 Associate Publisher Subscriptions/Customer Subscriptions/Customer Service National Associate Publisher Production Manager Subscriptions/Customer Service (416) 510-6788 Account Manager Mary Garufi Leading by Example the insurance industry’s social network ng by Example 14 Leading by Example Harmeet Singh [email protected] [email protected] Circulation Manager Society when he received its [email protected] Claims (416) 442-5600 ext. 3545 Paul Aquino Paul Aquino was recognized by the CIP Gail Page Associate Publisher Gail Page Paul Aquino Gary White Gail Page Manual Manual Michael Wells [email protected] Associate Publisher Associate Publisher Mary Garufi Cameron, president of [email protected] meron, presidentJames of Leading Associate Publisher (416) 510-5187 (416) 510-5187 James Cameron, president of Manual (416) 510-5187 Established Award.its Account Manager 14 by Paul Aquino ng by Example Leading by Example [email protected] [email protected] [email protected] [email protected] [email protected] (416) 510-6760 Society whenLeader heExample received [email protected] InsuranceMarketer.com InsuranceMarketer.com InsuranceMarketer.com InsuranceMarketer.com [email protected] [email protected] (416) 442-5600 ext. 3545 Print Production Manager Paul Aquino Paul Aquino Twitter: @CU_Harmeet Paul Aquino Cameron & Associates & Associates [email protected] Cameron & Associates Michael Wells STELMAKOWICH Twitter: @InsuranceCanuk James Cameron, president Twitter: @InsuranceCanuk meron, presidentBY ofANGELA (416) 510-5187 (416) 614-5831 (416) 510-5187 Twitter: @InsuranceCanuk James Cameron, president of Circulation Manager (416) 510-5187 Circulation Manager Circulation Manager Established Leader Award. of (416) 510-5122 Phyllis Wright (416) [email protected] [email protected] (416) 510 442-5600 ext. 3652 [email protected] Subscriptions/Customer Service Insurance Consultants Limited, [email protected] Insurance Print Production Manager (416) (416) 510-6788 Cameron & Associates (416) 510-6788 510-6788 Mary Garufi &Consultants Associates Limited, Print Production Manager Mary Garufi Cameron &Consultants Associates Limited, Mary Garufi BY ANGELA STELMAKOWICH INSURANCE the insurance industry’s social network Twitter: @InsuranceCanuk Twitter: @InsuranceCanuk Account Manager Twitter: @InsuranceCanuk Circulation Manager Circulation Manager Gail Page Circulation Manager (416) 510-5122 was recognized by the CIP nized by the CIP Account Manager Phyllis Wright was recognized by the CIP President Phyllis Wright Associate Publisher [email protected] [email protected] Insurance Consultants Limited, [email protected] Consultants Limited, Insurance Consultants Limited, National National Michael Wells National (416) 510-6788 DIRECTORY 14 Leading by received Example (416) 510-6788 Account Manager (416) 510-6788 Account Manager Mary Garufi [email protected] Mary Garufi industry’s social network Account Manager the industry’s Mary Garufi the insurance the insurance insurance industry’s social social network network Elliot Ford Society when he its en he received its Bruce Creighton Society when he received its Paul Aquino insBlogs Claims President (416) 442-5600 ext. 3545 Claims (416) 442-5600 ext. 3545 [email protected] Claims (416) 442-5600 was recognized by the CIP nized by the CIPwas Account Manager recognized by president the CIP of President Michael Wells James Cameron, Michael Wells [email protected] (416) 510-5187 ext. 3545 [email protected] Michael Wells [email protected] INSURANCE [email protected] Manual Manual (416) 510-5122 Jim Glionna Established Leader Award. Manual Account Manager denLeader Award.its [email protected] Account Manager Established Leader Award.its Account Manager Elliot Ford Society when he he received Bruce Creighton Society when he received received its InsuranceMarketer.com Vice President DIRECTORY InsuranceMarketer.com [email protected] [email protected] (416) 442-5600 ext. 3545 InsuranceMarketer.com (416)Production 442-5600 ext. 3545 [email protected] Cameron & Associates Print Production Manager (416) 442-5600 ext. 3545 Print Manager Print Production Manager (416) 510-5117 Michael Wells Twitter: @InsuranceCanuk Account Manager Michael Wells Vice President & General Manager BY ELMAKOWICH Michael Wells Circulation Manager BY ANGELA ANGELA STELMAKOWICH STELMAKOWICH [email protected] Established Leader Award. d Leader Award.Established Alex Papanou (416) 510-5122 Leader Award. (416) 510-5122 (416) 510-5122 Phyllis Wright Phyllis Wright Insurance Consultants Limited, Phyllis Wright 10 Right Place, Right Time Insurance Blogs hosted by Canadian510-6788 Underwriter Christine GiovisPrint Production Manager JoePresident Glionna (416) [email protected] [email protected] insBlogs Vice [email protected] Mary Garufi Manager Print Production Print Production Manager (416) 510-5117 BY ANGELA STELMAKOWICH ELMAKOWICH BYwas ANGELA STELMAKOWICH INSURANCE the [email protected] Property &INSURANCE Casualty Insurance Newswire the insurance industry’s social network theinsurance insuranceindustry’s industry’ssocial socialnetwork network recognized by the started CIP SPECIAL FOCUS When John Sharoun Alex Papanou (416) 510-5122 (416) 510-5122 Account Manager Property & Casualty InsurancePresident Newswire (416) 510-5122 [email protected] Account Manager Phyllis Wright Phyllis Wright Account Manager Phyllis Wright President President (416) 510-5114 Account Manager DIRECTORY DIRECTORY Society when he received its Elliot Ford (416) 442-5600 ext. 3545 Elliot Ford his career Elliot Ford Creighton Bruce Creighton Bruce Creighton insBlogs Bruce insBlogs SPECIAL FOCUSin 1973, he Michael Wells Connect with Canadian Account Manager Account Manager Account Manager President PresidentUnderwriter President INSURANCE 6Established INSURANCE [email protected] [email protected] INSURANCE [email protected] insBlogs.com hadEditorial no ideaLeader what aAward. claims [email protected] Elliot Ford Elliot Ford PrintPresident Production Manager Elliot Ford Bruce Creighton Bruce Creighton Vice DIRECTORY Bruce Creighton Vice President DIRECTORY Insurance Blogs hosted by Canadian Underwriter Vice President DIRECTORY Connect with Canadian Underwriter BY ANGELA STELMAKOWICH (416) 510-5117 (416) 510-5117 (416) twitter.com/CdnUnderwriter facebook.com/CanadianUnderwriter trainee did. (416)510-5117 510-5122 6 adjuster Editorial [email protected] [email protected] Phyllis Wright [email protected] Alex Papanou Alex Papanou Alex Papanou Insurance hosted by Insurance hosted byUnderwriter Canadian Underwriter by Canadian Underwriter InsuranceBlogs BlogsBlogs hosted byCanadian Canadian Underwriter Vice President insBlogs Vice 8 Sharoun Marketplace Vice President President insBlogs — recipient of the Insurance Blogs hosted(416) (416) 510-5117 510-5117Property (416) 510-5117 twitter.com/CdnUnderwriter facebook.com/CanadianUnderwriter & Insurance Newswire Property & Casualty Insurance Newswire Property & Casualty Casualty Insurance Newswire Account Manager President SPECIAL CUS Alex Papanou .ca SPECIAL FOCUS FOCUS Alex Papanou Alex Papanou Property & Casualty Insurance Newswire Property & Casualtylinkd.in/CanadianUnderwriter Insurance Newswire instouch.com/group/CanadianUnderwriter Property & Casualty Insurance Newswire InsuranceMediaGroup.com 2016 Greater Toronto Area 8 Marketplace Elliot Ford Bruce Creighton 56 Moves & Views Award SPECIAL FOCUS CUS SPECIAL FOCUS Connect with Canadian UnderwriterInsuranceMediaGroup.com Connect with Canadian Underwriter Fellow of Distinction Connect linkd.in/CanadianUnderwriter instouch.com/group/CanadianUnderwriter [email protected] Published bywith Canadian Underwriter 6 Editorial torial insBlogs.com www.CanadianUnderwriter.ca/MediaGroup insBlogs.com Vice President 56fromMoves & Views The CIP Society — (416) 510-5117 Insurance Blogs hosted by Canadian Underwriter Insurance Blogs hosted by CanadianCanadian Underwriter Insurance Blogs hosted by Canadian Underwriter Connect with Underwriter Connecttwitter.com/CdnUnderwriter with Canadian Underwriter Connecttwitter.com/CdnUnderwriter with Canadian Underwriter facebook.com/CanadianUnderwriter facebook.com/CanadianUnderwriter 58 Gallery twitter.com/CdnUnderwriter Alex Papanou facebook.com/CanadianUnderwriter 6 went Editorial torial www.CanadianUnderwriter.ca/MediaGroup Canadian BUSINESS UnderwriterMEDIA is published on to become NEWCOM INC. thirteen times yearly (monthly + the Annual Statistical Issue) by Insurance hosted Canadian Underwriter Insurance Blogs hosted by Canadian Underwriter InsuranceBlogs Blogs hostedby by CanadianMEDIA Underwriter 8 Marketplace rketplace NEWCOM BUSINESS INC. twitter.com/CdnUnderwriter facebook.com/CanadianUnderwriter SPECIAL FOCUS twitter.com/CdnUnderwriter facebook.com/CanadianUnderwriter 58a senior Gallery twitter.com/CdnUnderwriter facebook.com/CanadianUnderwriter executive at is at thirteen 80 Valleybrook Drive,(monthly Toronto, Ontario, M3B Statistical 2S9 .ca .ca Canadian Underwriter Underwriter is located published times yearly + the Annual Issue) by linkd.in/CanadianUnderwriter instouch.com/group/CanadianUnderwriter linkd.in/CanadianUnderwriter Canadian instouch.com/group/CanadianUnderwriter linkd.in/CanadianUnderwriter instouch.com/group/CanadianUnderwriter InsuranceMediaGroup.com InsuranceMediaGroup.com InsuranceMediaGroup.com 8 Crawford Marketplace Phone: (416) 442-5600. rketplace NEWCOM BUSINESS MEDIA INC. & Company. Connect with Canadian Underwriter ves & Views 56 Moves & Views INSURANCE – we have it covered. – INSURANCEINSURANCE – we have it covered. we have it covered. instouch.com Photo: David Chang, courtesy of Crawford & Company Photo: PatrickThompson Thompson Photo:Thompson Patrick Thompson Photo:Patrick Patrick Thompson Photo: Patrick Photo: Patrick Photo: Thompson Photo: Patrick Thompson Photo:Thompson Patrick Thompson Photo: Patrick VOL. 81, NO. 2, FEBRUARY 2014 and insBlogs Ontario instouch.com instouch.com instouch.com Ontario insBlogs insBlogs insBlogs Ontario Ontario instouch.com instouch.com Ontario Insurance Blogs hosted by Canadian Underwriter insBlogs Ontario insBlogs.com insBlogs Insurance Blogs hosted by Canadian Underwriter Insurance InsuranceBlogs Blogshosted hostedby byCanadian CanadianUnderwriter Underwriter .ca insBlogs.cominsBlogs.com 56 Moves & Views 6By Angela Editorial Stelmakowich ves & Views 56 Moves & Views 58 lery 8 Gallery Marketplace 58 Gallery lery 56 Moves & Views special focus 58 Gallery 6 Editorial 8Marketplace 50 Moves & Views 52Gallery 4 Canadian Underwriter February 2014 4 Canadian Underwriter February 2014 Canadian 44 2014 Underwriter February Canadian Underwriter Underwriter February February 2014 2014 Canadian 44 2014 Underwriter February Canadian Underwriter Underwriter February February 2014 2014 4 Canadian Underwriter February 2014 4 Canadian Underwriter May 2016 InsuranceMediaGroup.com InsuranceMediaGroup.com InsuranceMediaGroup.com All rights reserved. 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Providing Security, Strength and Innovative Solutions to the Canadian market for 35 Years At TransRe, a mix of innovative programs, proven expertise and considerable capacity, on a foundation of financial strength, has created a new standard for reinsurance. As we celebrate the 35th Anniversary of our Canadian operation, we thank you for your confidence. With our international network of offices, we are committed to being a long-term partner in meeting your reinsurance needs. For more information on TransRe, please give us a call at 416-649-5300 95 Wellington Street West, Suite 1110, Toronto, Ontario M5J 2N7 Visit our website at: www.transre.com S&P rating A+ AM Best Rating: A editorial Road to Judgment Computer programs simply obey commands. They are not born to run red lights, break the speed limit, fall asleep, get drunk or play Tetris when they are supposed to be paying attention to the road. Greg Meckbach Associate Editor Canadian Underwriter [email protected] 6 Canadian Underwriter May 2016 Suppose that, because the name Bruce Springsteen appears nine times in this editorial (twice in the lede), an Internet search engine misidentifies Bruce Springsteen, rather than selfdriving cars, as a key topic. Search engines are now pertinent to traffic safety because Google Inc. is advocating for self-driving cars without steering wheels or pedals. Ontario is one North American jurisdiction, with an approval process for autonomous cars, that requires the ability for human drivers to take over. So if Bruce Springsteen, for example, got tired of his pink Cadillac and decided to ride in the back seat of a trial autonomous vehicle, he would have to have a chauffeur in the front who could take over. A safe human driver is someone who not only is fit to drive, but is paying attention and has sound judgment — similar to a reader who would be able to figure out that Bruce Springsteen is not the main topic of this editorial. This is not to suggest that search engines will categorize this as an article about Bruce Springsteen. A search engine may be programmed in such a way that it detects that Bruce Springsteen was just chosen as an example, or may even ignore the term Bruce Springsteen in this context. However, it would not be unreasonable to anticipate that a well-programmed search engine, which operates exactly in the manner intended by its programmers, could mis-identify Bruce Springsteen as a key topic of this editorial. By the same token, a human who is reading this may have no idea what this article is about, especially if that human is drowsy, intoxicated or distracted because he or she is using his or her mobile device instead of reading. In that case, a computer program may have a better chance of identifying the topic than a human not actually looking at it. This is why self-driving cars are statistically safer than humans. It is not because cars are inherently suicide machines or because software has better judgment than humans. It is because too many human drivers are distracted, falling asleep, impaired, reckless or incompetent. Computer programs simply obey commands. They are not born to run red lights, break the speed limit, fall asleep, get drunk or play Tetris when they are supposed to be paying attention to the road. But are self-driving cars inherently safer than human drivers? “To verify self-driving cars are as safe as human drivers, 275 million miles must be driven fatality-free,” said Missy Cummings, director of the Humans and Autonomy Lab at Duke University, during a hearing March 15 before the United States Senate Committee on Commerce, Science and Transportation. “Given self-driving cars’ heavy dependence on probabalistic reasoning and the sheer complexity of the driving domain, to paraphrase [former U.S. defense secretary] Donald Rumsfeld, there are many unknown unknowns that we will encounter with these systems.” During that hearing, Google self-driving car director Chris Urmson testified that 94% of accidents in the U.S. are due to human error. However, the fact that good software can drive more safely than some human drivers does not make computers inherently safer than human drivers. What is the worst thing that would happen if a computer program mistakenly identified this editorial as an article about The Boss? Certainly no one would get injured or die. But what is the worst thing that would happen if an autonomous vehicle — lacking the judgment that a human driver ought to have — is presented with a situation unforeseen by the programmer? “These systems will not be ready for fielding until we move away from superficial demonstrations to principled, evidence-based test and evaluations, including testing human/autonomous system interactions and sensor and system vulnerabilities in environmental extremes,” Cummings contends. If this editorial does not appear in search results for Bruce Springsteen, that may bode well for the safety of self-driving cars — assuming that the software driving the cars is at least as good as web search algorithms. What is Craftsmanship ? SM To be crafted is to meet exacting standards. It’s the human touch that combines art and science to create something unique. ©2016 Chubb. Coverages underwritten by one or more subsidiary companies. Not all coverages available in all jurisdictions. Chubb®, its logo, Not just coverage. Craftsmanship.SM and Chubb. Insured.SM are protected trademarks of Chubb. We tend to think about craftsmanship in terms of physical things: Fine wine, classic cars, custom furniture and iconic structures. But what about the underwriting of insurance to craft protection for your unique and valuable things? And the service behind that coverage when you need it most — like claims and loss prevention? For your business. Your employees. Your home. The people you love. Things that need a particular kind of protection and service. The kind Chubb provides. Not just coverage. Craftsmanship.SM Not just insured. Chubb. Insured. SM marketplace Regulation Ottawa, Toronto legalize private transportation companies Toronto City Council voted May 3 to establish a new licensing class of private transportation companies (PTCs). The city will regulate anyone “who offers, operates, or facilitates transportation services for compensation using software, an application, or a telecommunications platform to communicate with passengers and PTC Drivers.” That vote was held three weeks after the City of Ottawa announced it had approved new vehicle-for-hire regulations. In Ottawa, each PTC will have to provide information about its drivers and their vehicles — including insurance. In Toronto, the city would require that a PTC’s drivers and vehicles have auto liability coverage of at least $2 million per occurrence. A PTC will also require commercial general liability business insurance coverage of at least $5 million. SGI offers discounted accident benefits option to motorcyclists On April 1, Saskatchewan Government Insurance implemented a Reduced No Fault coverage for motorcycle owners, who can now get a discount depending on engine size. Motorcycle owners opting for the coverage will receive fewer benefits when they are 8 Canadian Underwriter May 2016 operating their motorcycle and are found 50% or more responsible for the collision, and also when they are in any single-vehicle crash. In collisions where someone else is responsible, the motorcycle owner would receive full No Fault benefits. Among other things, motorcycle owners must sign a declaration form stating they understand the reduced coverage. 15% premium tax coming to Newfoundland in July When a 15% retail sales tax on property and casualty insurance policies takes effect this July in Newfoundland and Labrador, that province will have the highest taxes on insurance premiums in Canada, an Insurance Bureau of Canada (IBC) official says. The government budget for the 2016-2017 fiscal year was tabled April 14. “The Retail Sales Tax on insurance premiums is being reintroduced on July 1, 2016,” the budget document notes. “A tax of 15 per cent will be applied to insurance premiums for property and casualty insurance policies.” Quebec currently has the highest premium taxes in Canada, Amanda Dean, IBC’s vice president, Atlantic Canada, told Canadian Underwriter. But as of July 1 — in addition to bringing back the retail sales tax on insurance premiums — the Newfoundland and Labrador government will also increase, by one percentage point, the Insurance Companies Tax, currently at 4%. “As a result of those tax measures, consumers from Newfoundland and Labrador will pay the highest taxes on insurance premiums in the country,” Dean says. Claims fort mcmurray fire losses “will likely” top slave lake: report Three days after the entire town of Fort McMurray was subject to an evacuation order, A.M. Best Company Inc. released a report predicting the Alberta wildfire “will likely have significantly more losses than the Slave Lake Fire in May 2011.” The Slave Lake fire resulted in insured losses of more than $700 million, A.M. Best notes in report released May 6. At that time, the wildfire had “damaged or destroyed more than 1,600 homes and structures, and is threatening 19,000 more,” A.M. Best reports. “The blaze has engulfed entire neighbourhoods, business districts and has burned more than 18,500 acres.” Until 2013, the Slave Lake fire ranked second (behind the ice storm of 1998) on the list of Canada’s most expensive natural disaster, by insured losses. The floods affecting southern Alberta in 2013 (which now tops the list) caused about $2 billion in insured losses while a July 8, 2013 rainstorm caused about $850 million in losses in the Toronto area. That event is now the third most expensive natural disaster in Canadian history. U.S. commercial auto hit with heightened claims severity: Fitch Commercial auto insurance in the United States has evolved into a “chronically underperforming product segment” for property and casualty insurers in the country, reports Fitch Ratings. While the p&c industry has reported three consecutive years of significant underwriting profits, the commercial auto market reported an underwriting loss for the fifth consecutive year in 2015, states a press release from Fitch Ratings. Underwriting losses have accelerated with the segment statutory combined ratio rising to about 109% for the latest year. The commercial auto combined ratio averaged 106% from 2011 to 2015. “The poor performance is a reflection of previous overly aggressive pricing in commercial auto and a recent extended period of heightened claims severity, particularly relating to bodily injury claims,” James Auden, managing director of Fitch Ratings, says in the release. damages from Ontario ice storm exceeds $25 million: CatIQ The cost of insured damage caused by the ice storm that swept through southern Ontario between March 23 and 26 is estimated at more than $25 million, note preliminary estimates provided marketplace by Catastrophe Indices and Quantification Inc. (CatIQ) released in April. While the storm hit many areas in the province, Fergus, Orangeville, Barrie, Newmarket and surrounding areas were particularly affected by the storm, Insurance Bureau of Canada reports. Strong winds and freezing rain toppled fences, trees and power lines, and left hundreds without power. Canadian Market Allstate rolls out telematics auto insurance in Alberta Allstate Insurance Company of Canada went live April 1 with usage-based insurance to personal lines customers in Alberta. With Drivewise — which was already available to Ontario auto customers — Allstate is using telematics technology from Modus Group LLC. The insurer plans to give discounts of up to 30% for good driving behaviour. Underwriting income triples in 2015: IBC Canada’s property and casualty industry “had a relatively good year,” in 2015, with underwriting income of about $1.7 billion, David McGown, senior vice president of strategic initiatives for Insurance Bureau of Canada (IBC), said in April during Swiss Re’s 2016 Canadian Insurance Outlook. Underwriting income was $558 million in 2014, McGown told attendees of the 31st edition of the annual event in Toronto. “Less severe weather gave us a break for the second year in a row,” he said, noting that $600 million in insured losses from natural catastrophes in 2015 represented “the first time since 2009 that such losses were well below $1 billion.” As for private passenger auto, McGown said the slight improvement in the nationwide loss ratio for auto was as a result of better performance in Ontario and Alberta. Risk B.C. commits $4 million for flood mitigation on Fraser River British Columbia’s Ministry of Transportation and Infrastructure announced in April it is committing $4 million in funding for shoreline flood mitigation projects in Abbotsford. The project is intended to provide stabilization of river banks along the Fraser River to help protect nearly 5,000 hectares of agricultural land, the historic Clayburn and Matsqui Village, Matsqui First Nations and major regional infrastructure like Highway 11, railways, the National Defence communications centre, BC Hydro towers, gas mains, and water and community wastewater facilities. The investment is part of more than $49 million being provided to flood mitigation projects — such as upgrades to dikes and flood protection — in communities throughout British Columbia. civil aviation) and crowded public spaces (including retail and sports venues).” Aon reports “significant business risk” from terrorism in 2015 Canadian risks insured by two new cat bonds Aon plc’s risk solutions unit released in April its annual Terrorism and Political Violence Map, which found risk ratings in 18 countries experienced an increase and 13 countries saw a decrease. For the first time since Aon and The Risk Advisory Group plc jointly began collecting empirical data to create the map in 2007, shootings have overtaken bombings in the western world, while the targeting of civilians in public spaces has become more commonplace, Aon Risk Solutions reports. Since January 2015, nearly one-third (31%) of all attacks in the West targeted private citizens and public gatherings, a company statement adds. “This marks a significant change from 2010-2014, when attacks against private citizens and public gatherings made up just 25% of recorded incidents, second to attacks on police, military and government, which totalled 43% of attacks,” Aon states in the report. “This means that terrorism re-emerged as a significant business risk over the past year, with major high-profile international attacks targeting tourism-related sectors (hotels, resorts, airports and Reinsurance Sponsors completed two catastrophe bonds with coverage for Canada in the first quarter of 2016 — the same two sponsors that did so in Q1 2015, reports Verisk Analytics Inc.’s Property Claims Services unit. In Déjà vu: PCS Q1 2016 Catastrophe Bond Report, released in April, PCS reports capital raised by cat bonds that included cover for Canada surged from $350 million last year to $600 million this year. The latest Galileo Re stayed at $300 million, but the new Atlas IX Capital DAC transaction was twice as large as the one completed in the first quarter of 2015, PCS reports. In a separate report, Aon plc reported that Atlas IX Capital DAC issued $300 million in cat bonds on behalf of SCOR Global P&C SE. The covered perils of that bond include U.S. hurricane, as well as U.S. and Canadian earthquake. In its Insurance Linked Securities Q1 2016 update, Aon Benfield notes that “U.S. named storm and earthquake dominated the market, as did, to a lesser extent, Japan typhoon.” Aon adds the Galileo Re issuance was made on behalf of XL Insurance (Bermuda) Ltd. May 2016 Canadian Underwriter 9 Profile Right Place, Right Time Angela Stelmakowich Editor John Sharoun, recipient of The CIP Society’s 2016 Greater Toronto Area Fellow of Distinction Award, knows making an effort can produce solid results. One could argue that John Sharoun owes a rewarding, four-decades-long career in insurance to a “beater” and an assertive broker. Insurance was not on his career radar, in his mind or even a passing notion when Sharoun, now executive general adjuster and senior consultant with Crawford & Company (Canada) Inc., returned to Toronto from a stint of backpacking in Europe after his first year of university. What was on his mind was getting a car. Enter the beater: that cheap, seen-better-days mode of transportation that may have been regarded as a staple for a young man in 1973. But what is a vehicle without insurance? Enter the assertive broker. A friend of the family, the broker gave Sharoun the, “‘So now that you’ve been fooling around for a year, what are 10 Canadian Underwriter May 2016 you really going to do with your life?’ routine,” he relays. Later that day, the broker called back. “‘Here’s your quote for your insurance,’” he said. “‘And you have an appointment at the Hartford tomorrow morning for an adjuster training position. Be there at 9 o’clock.’ And so I was.” That Sharoun had no idea what an adjuster trainee did was beside the point. He interviewed, and with the broker’s recommendation, began his insurance career. It has been a wide-ranging career, providing views from the carrier, business owner and independent adjusting sides of the business. At Hartford Insurance, where he worked from 1973 through 1979, Sharoun advanced to assistant branch manager of the Toronto office; at Allstate Insurance Company of Canada, he joined the company’s fledgling commercial division — starting as commercial examiner in 1979 and finishing in the late 1980s as Canadian commercial claims manager — to witness the entire commercial team grow from a staff of about 20 or 30 to more than 275 Canada-wide thanks to the concerted efforts of the whole team; and at Laurentian Casualty Company of Canada, he assumed duties as vice president of claims. Ending his tenure on the carrier side, Sharoun joined three other partners to launch an independent adjusting office, initially known as Cherrie Lowthian Smith and Sharoun in 1990. There, he learned plenty about insurance, but also about running a business. “There’s a direct correlation between the telephone ringing, getting a new assignment and actually being able to pay all of your employees,” Sharoun quips, adding it was a different kind of pressure, but a great learning experience. “Whatever opportunity anyone gave me to learn,” Sharoun says, “I took absolute advantage of that.” The firm was acquired in 1996 by what was then Adjusters Canada, which itself was acquired by Crawford & Company (Canada) in 1998, to become Crawford Adjusters Canada. With his solid experience in commercial lines, Sharoun was named Canadian head of major and complex loss before taking on duties as Crawford Canada’s chief operating officer in 2006 and chief executive officer (CEO) in 2007. Starting in 2013, he spent a few years in the United States — serving first as CEO of specialty markets, the Americas and then as CEO of global technical services, the Americas — before returning to Toronto this past January. Now, he pursues his interests in major and complex loss management while also being involved with consulting projects across the Americas. Sharoun never finished that university degree, opting instead to concentrate on his insurance education, training and designations. Beyond the internal training he received at Hartford and Allstate — “American companies in those days trained their own.” — he obtained his Chartered Insurance Professional (CIP), Fellow Chartered Insurance Professional (FCIP) and Associate of the Insurance Institute of Canada designations. Later on came the Canadian Risk Management, Fellow Canadian Independent Adjusters Association, Certified Fraud Examiner and Fellow of the Insurance Institute of Canada designations. “Whatever opportunity anyone gave me to learn or have any formal education, I took absolute advantage of that,” Sharoun says. “I also took every assignment, no matter whether it was a good one or a bad one,” believing “the more exposures I had to different things, the more that I would learn,” adds the recipient of the 2016 Greater Toronto Area Fellow of Distinction Award from The CIP Society, the graduate division of the Insurance Institute of Canada. Nominated by colleagues, Profile Photo: David Chang, courtesy of Crawford & Company the final selection is based on industry reputation, leadership ability and a number of personal qualities, including core values, mentoring and volunteering pursuits. Both honoured and humbled, Sharoun says, “I try to contribute each and every day and I try to make sure that I do the right things, and, then, I think the right things beget some pretty good outcomes.” Changing ENVIRONMENT For those in independent adjusting, there are certainly challenges ahead, Sharoun says. Citing the future of automobiles, what is going to happen with driverless cars and how that may change “the insurance business and the claims reaction is obviously something that’s on the table.” Whether driverless cars, the Internet of Things (IoT) or smart homes, claims adjusters will need to be ready and to respond in an informed way. Consider, for example, smart homes. “How we deal with that, how we react to that and the information it provides from a claims perspective when a loss happens is going to be very interesting,” Sharoun suggests. With the rapid growth in technology, it will be important to leverage technology, but take care not to “lose the people piece,” he says. “At the end of the day, technology enables us to have more information and to provide more options to the policyholder, but when they’re in their time of need, they want to speak to a real, live person.” Beyond new drivers like IoT, analytics and artificial intelligence, though, are old ones, like the impact of weather. Improved technology and communication is helping to understand the nature and extent of catastrophic events quickly, Sharoun says. “The ability to gauge how bad an event is, how widespread an event is and what the local resources are versus what might be required is something that has come an awful long way,” he notes. Having a firm grasp of data and trends could help to meet ever-increasing customer demands. “I don’t think there’s any question that we have a much more demanding customer than we ever did, both in terms of immediacy and the level of customer service expectation,” he says. “Using technology to be able to not only leverage that focus, but measure that and have a path of continuous improvement, I think, is something that is very high on everyone’s mind.” There are things about the claims picture today that are different than when Sharoun began his career, but some things remain constant. One change is having a global view, perhaps advanced by industry consolidation. This wider view has opened up the potential for companies to communicate, individuals to advance beyond their borders and everyone to share lessons learned. It is now more “simple to share ideas and put best practice into place across the globe very quickly,” Sharoun suggests. To his mind, co-ordination and openness to new ideas is a positive. From a leadership perspective, it is something he strives to foster. “When I got into the role of a leader,” Sharoun sought to “create a very challenging team environment and create opportunities for people, empower them, surround myself with the best people I could find and let them do their thing.” People need to be in a position to step up. “Sometimes, a manager appreciates that you took on a challenge even if it’s a loser at the end of the day,” he says. “I created the opportunity where I was, hopefully, always at the right place at the right time.” May 2016 Canadian Underwriter 11 Function Test Principal, Forget Smith Morel Changes to Ontario’s statutory accident benefits schedule (SABS) — which take effect for accidents occurring on or after this June 1 — will make 2016 a memorable year for professionals dealing with auto claims disputes. The use of the Glasgow Outcome Scale (GOS) will address flaws in the use of the Glasgow Coma Scale (GCS) and should lead to fewer erroneous determinations of catastrophic impairment. However, this is likely to lead to fewer catastrophic impairment (CAT) determinations 12 Canadian Underwriter May 2016 Outcome-based measure Over time, the courts have become more liberal in the interpretation of CAT designations, the result of which has been to produce a broader range of coverage. As of June 1 in Ontario, the new narrowing of the CAT definition will assist in ensuring predictability, as opposed to the variability that is often encountered in the case law. Among the many changes, in the criteria for determining catastrophic impairment are the following: (1) the removal of the Glasgow Coma Illustration by Scot Ritchie Marc Smith The criteria to obtain a catastrophic impairment designation, in Ontario, will be narrower as of June 1, as the Glasgow Coma Scale will be replaced with the Glasgow Outcome Scale. and is likely to be challenged by some claimants. On June 1, the mandatory coverage for accident benefits will be reduced considerably, and the criteria to obtain a CAT designation will be narrowed. Plaintiffs’ lawyers are alarmed because the changes may reduce a claimant’s entitlement and make it more difficult to be deemed CAT under the SABS. However, this raises the question of whether or not this is the catalyst of change that the insurance industry has long awaited. Illustration by Scot Ritchie BURNS & PARTNER, NOT COMPETITOR WILCOX WHOLESALE IS OUR MIDDLE NAME. Free of retail divisions, ownership or even affiliations, we never cross the line between wholesaler and competitor. Your best interests always come first, keeping the focus on growing your business. Don’t compromise. Partner with the leader who works with you instead of against you — Burns & Wilcox Canada. 888.591.9125 | burnsandwilcox.ca Commercial | Professional | Personal | Wholesale | Binding | Risk Management Services a legal definition to be met by a claimant and not a medical test.” Fewer erroneous designations Scale (GCS), which is to be replaced by the Glasgow Outcome Scale (GOS), in the definition of brain impairment; and (2) the new mental behaviour criteria. The GCS has been in use under SABS for the past 20 years. Not surprisingly, the news of replacing it with the GOS has sparked a great deal of debate among the plaintiff and defence bars. While counsel for claimants tend to view the GCS as a simple, efficient and precise tool, counsel for insurers have criticized it as being an unreliable and inaccurate measure of the neurological functions of a claimant. The flaws with the GCS have been argued by defence lawyers for years, but the courts continue to place a great deal of reliance upon it. A striking example is the Court of Appeal for Ontario ruling, released in 2009, in Liu v. 1226071 Ontario Inc. A pedestrian was struck by a motor vehicle, and the issue to be ad14 Canadian Underwriter May 2016 dressed was whether the claimant was catastrophically impaired on the basis of his GCS. The accident occurred at approximately 8:15 pm, at which time and after which Mr. Liu’s GCS ratings were: (a) 3/15 at 8:31 pm; (b) 8/15 at 8:43 pm; (c) 12/15 at 8:55 pm; and (d) 14/15 at 8:57 pm. The trial judge found that “the GCS was above 9/15 in less than 40 minutes from the time of the accident” and, accordingly, found that Liu was not catastrophically impaired. It was also held that there was evidence of a highly functional individual, which would not support the finding of someone being deemed CAT. On appeal, however, the decision was overturned based upon the conclusion reached that the GCS score of 9 or less meant that there was a catastrophic impairment. In this regard, Justice Jean MacFarland remarked that catastrophic impairment “is The GOS is a detailed and focused comparison of a claimant’s functionality prior to and after an accident, as measured at different stages throughout a claimant’s recovery following the accident. With this tool, it is expected that there will be fewer erroneous determinations, such as in the case of Liu. Briefly, the GOS is commenced by obtaining a baseline narrative (pre-accident occupational status, social skills, activities of daily living, mode of transportation used, and a claimant’s general condition), which is obtained from the claimant or family members. The same inquiry is repeated at three and six months post-accident. This approach enables the assessor to measure whether or not the claimant has returned to a pre-accident level of functioning and, based upon that information, attribute an appropriate GOS rating. Clearly, an outcome-based measure that looks at function prior to and following an injury-producing event, as measured across different stages of a claimant’s convalescence, must be more effective than the GCS, which uses eyeopening and verbal and motor responses as measured only within a short period of time after an accident. Although the GOS will now replace the GCS, the GOS has still been in use for more than three decades, and has been enhanced over the years. Unlike the GCS, however, the GOS has not been subject to substantial interpretation by arbitrators and the courts. Under the current SABS, GOS is included in Section 3(2)(d)(ii) to determine if a claimant is catastrophically impaired, such that a score of “2” (vegetative) or “3” (severe disability) must be assigned following a test that has been administered more than six months following the accident by someone trained to do so. A thorough and well-reasoned consideration of the validity of the GOS is found in the 2015 decision, Wat- ters v. State Farm Mutual Automobile Insurance Company, issued by an arbitrator with the Financial Services Commission of Ontario (FSCO). There, a pedestrian was struck by a vehicle, and the issue to be determined was whether Watters had sustained a catastrophic impairment, pursuant to section 3(2)(d)(ii) of SABS. Given that this was the first decision to rely upon the GOS, as opposed to GCS, arbitrator Richard Feldman reviewed the history of the tool, placing reliance on a scholarly paper titled Assessment of Outcome After Severe Brain Damage — A Practical Scale by Dr. Bryan Jennett (neurosurgeon) and Dr. Michael Bond (physiatrist). It was recognized that the goal of GOS “is to accurately reflect a braininjured person’s level of function in the real world.” To achieve this objective, the creators of the GOS have specified that conducting a “structured interview provides a standardized methodology for gathering the necessary information and for converting that information into a GOS score.” In the result, Feldman preferred the evidence of the claimant’s physiatrist due to her undertaking of the GOS assessment, as opposed to that of the defence’s neurologist who “only administered a minimental status test.” In sum, utilizing the GOS method of determining a claimant’s catastrophic impairment will substantially reduce erroneous designations of catastrophic impairment that are likely to have otherwise resulted from employment of the GCS. This, in turn, has the potential to avoid findings which are in no way reflective of neurological functioning in the “real world.” One marked impairment no longer sufficient Another example where the courts are seen to expand upon the CAT definition is the Court of Appeal for Ontario decision, released in 2012, in Pastore v. Aviva Canada Inc. This case involved a pedestrian who was struck by a vehicle while crossing the road. Pastore was as- sessed at a designated assessment centre (DAC) under Section 2(1.1.)(g) of SABS, which, at the time, stipulated the following: “subject to subsections (2) and (3), an impairment that, in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993, results in a class 4 impairment (marked impairment) or class 5 impairment (extreme impairment) due to mental or behavioural disorder.” The DAC concluded that Pastore was catastrophically impaired, as she had one class 4 impairment (marked) in the activities of daily living category, “An outcome-based measure that looks at function prior to and following an injury-producing event, as measured across different stages of a claimant’s convalescence, must be more effective than the GCS, which uses eye-opening and verbal and motor responses as measured only within a short period of time after an accident.” with the balance of the assessment falling into the class 3 impairment (moderate). The insurer challenged the determination, arguing that a finding of one marked impairment ought to be insufficient to qualify Pastore as being deemed catastrophically impaired. The Court of Appeal for Ontario disagreed and upheld the director’s delegate decision as reasonable, holding that “one function at the marked impairment level was sufficient for qualification of catastrophic impairment.” In light of this decision, more and more claimants found themselves deemed CAT, based upon a finding of one marked impairment in their functioning. Now, however, given the introduction of the changes that take effect June 1, there is likely to be a “marked” reduction in the number of CAT determinations. The Ontario legislature has now clarified the requirements for assigning a CAT designation under the functional, mental, and behavioural disorders categories. The new section 3.1(1)(8) will read as follows: Subject to subsections (3) and (5), an impairment that, in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993 results in a class 4 impairment (marked impairment) in three or more areas of function that precludes useful functioning or a class 5 impairment (extreme impairment) in one or more areas of function that precludes useful functioning, due to mental or behavioural disorder.” Therefore, as of June 1, future findings of catastrophic impairment for mental or behavioural disorders will require a marked impairment in three of four aspects of function, or otherwise an extreme impairment in one aspect, where the individual must be precluded from useful functioning. The path forward now appears to be clear when it comes to assessing CAT determinations. However, as has been with past amendments, clarity does not necessarily mean certainty. It is expected that this amendment will be challenged and/or will receive much scrutiny as it is dealt with in hearings and appeal courts. SABS disputes are now being heard by the Licence Appeal Tribunal and, as has been well-publicized, the Tribunal’s mandate is to resolve claims within extremely tight timelines (six months from beginning to end). This, coupled with the implementation of the new CAT definitions, as well as others being introduced on June 1, 2016, leads to a prediction of a certain period of adjustment, and perhaps upheaval, for everyone within this system. May 2016 Canadian Underwriter 15 LAT Have Mercy Willie Handler Consultant, Willie Handler & Associates As of April 1, the Financial Services Commission of Ontario stopped accepting applications for mediation and arbitration of auto accident benefits insurance claims disputes. That responsibility now rests with the Licence Appeal Tribunal. On April 1, Ontario’s Licence Appeal Tribunal’s (LAT) Automobile Accident Benefits Service (AABS) was officially open for business. After 26 years, the Financial Services Commission of Ontario (FSCO)’s Dispute Resolution Group stopped accepting new applications. The transfer of responsibility has created considerable apprehension among its users. FSCO was flooded with new applications in the weeks leading up to April 1. For many, it is a matter of “better the devil you know.” What will this change mean for stakeholders? Will it really be different? 16 Canadian Underwriter May 2016 How did ontario get here? The establishment of the AABS at LAT brings to a conclusion a process that began with the appointment of Justice Douglas Cunningham in August 2013. Justice Cunningham was asked to review the auto insurance dispute resolution system. He was asked to make recommendations to the government to address a significant backlog, in disputed auto insurance claims pending mediation and arbitration, that existed at the time — and to propose system improvements. His report — delivered in February 2014 — included 28 recommendations. As a result, Bill 15 — the Fighting Fraud and Reducing Automobile Insurance Rates Act — included a provision transferring responsibility for resolving disputes over statutory accident benefits from FSCO to LAT. Regulation changes filed by the government on March 7, 2016 — which came into effect April 1 — was the final step in implementing the new dispute resolution system. What are the changes? • the only dispute resolution process available to parties is an arbitration through LAT; • mandatory mediation is no longer part of the Broker-Centric Services, for all your needs Crawford has extensive experience managing all aspects of the claims cycle. We provide integrated and customized solutions to brokers and their clients. Centered on superior 24-hour service, we adhere to key metrics using advanced user-friendly technologies for all claims and data management needs. We achieve higher client satisfaction and retention levels by establishing and implementing effective insurance programs anywhere in the world, regardless of size and scale. For more information on any of our services, contact us at [email protected]. Let Crawford help you build partnerships that last. Independent Adjusting Data Analytics Third Party Administration 24-Hour Contact Centre www.crawfordandcompany.ca Crawford-Broker-Services.indd 1 4/29/2016 4:41:03 PM If the Licence Appeal Tribunal is reluctant to dismiss these applications, then the gatekeeper function, envisioned by Justice Douglas Cunningham, will not be put into practice. dispute resolution process; • no court action can be commenced for statutory accident benefits disputes, even where there is a companion tort action; • there is no right of appeal, other than a reconsideration option with the executive chair of the Safety, Licensing Appeals and Standards Tribunals of Ontario (SLASTO) for exceptional circumstances and the Divisional Court on a question of law; • a total of 22 new full-time and parttime LAT adjudicators have been appointed to date. Auto insurance stakeholders will be interacting with a largely unknown group of adjudicators as only three have had experience resolving disputes at FSCO; and • LAT is committed to resolving most (90%) of disputes within six months. What happens to FSCO? Applications for mediation, neutral evaluation and arbitration have not been accepted since March 31, 2016. A mediation, arbitration, court proceeding, appeal, variation or revocation that was commenced before April 1 may be continued at FSCO after that date. If a mediation fails before April 1, an application for arbitration can only be made to LAT on or after April 1. Applications to the Director of Arbitrations — for appeals, variation or revocation — may only be made where the application for arbitration was received by FSCO before April 1. How does LAT work? Since there is no longer mandatory 18 Canadian Underwriter May 2016 mediation, an applicant will be able to apply for arbitration following the denial or termination of statutory accident benefits. The applicant (an insured or insurer) files an application for arbitration with LAT. The other party files a response. It is intended that all procedural issues, lack of production or failures to attend insurer examinations are to be dealt with up-front by the registrar. LAT may dismiss an application without a hearing if: • the claim is an abuse of process; • the matter is outside the tribunal’s jurisdiction; • the statutory requirements for bringing the application have not been met; or • the party filing the application has abandoned the process. This is a significant departure from the FSCO process, which included preliminary hearings. However, if LAT is reluctant to dismiss these applications, then the gatekeeper function, envisioned by Justice Cunningham, will not be put into practice. The first step in the arbitration process is a case conference. This is the settlement meeting described in Justice Cunningham’s report. It must take place within 45 days of the date LAT receives an application. The case conference is analogous to a FSCO pre-arbitration meeting except most will take place over the phone instead of in person. Prior to the case conference, the parties are required to outline the documents to be used at a hearing, any produc- tion issues, the preference for the type of hearing (written, video/ telephone or in-person), a list of witnesses and details of the most recent settlement offer. Should the dispute not be resolved at a case conference, then a hearing will take place within 60 days. The type of hearing will be decided by the adjudicator at the case conference. Decisions will be issued within 30 days for written hearings, within 45 days for video/telephone hearings and 60 to 90 days for in-person hearings. Lingering concerns There is no LAT appeal process other than the possibility of a reconsideration by the executive chair of SLASTO if there is a clear error that was made by the adjudicator. Appeals based on merit are not available. A party can apply for judicial review where there is a question of law. Is this a significant departure from the FSCO process? The simple answer is yes. But how much different can only be determined over time. The forms and practice rules are simpler. In an attempt to create a different culture, very few FSCO arbitrators have been appointed to LAT. Some see this as a good thing while others are concerned. But it does add an element of uncertainty for an initial period. There are other elements of the new process to be concerned about. Justice Cunningham recommended the 0creation of statutory timelines and sanctions regarding settlement meetings (case conferences), arbitration hearings and the release of arbitration process as the first step in the new dis- Cunningham has been the culture surdecisions. He apparently felt that there pute resolution process. It does not ap- rounding the previous system. LAT has needs to be strict adherence to timelines pear that all companies have established made a considerable effort to create a and that creating statutory obligations an internal review process. new culture. However, the new adjuwas the most effective way of accomdicators will be dealing with the same Conclusion plishing this. clientele and will need to interpret the However, no statutory timelines have A lot of time and effort has gone into same complex and frustrating statutory been created and, instead, LAT will creating the AABS at LAT to replace accident benefits. It will take some time manage timeline requirements. This is FSCO’s dispute resolution process. One to determine how much different the essentially how things existed at FSCO. of the problems identified by Justice new system is. What will happen if the parties are not ready for a quick hearing? Will adjournments become common occurrences? Stakeholders will be waiting to see if Surprised? ARC isn’t. Surp the promised timelines will be met or erode over time. Your customer has a list of the vehicles that In response to criticism of FSCO pracare covered by your fleet policy. You have tices in conducting mediations, Justice a list of the vehicles that are covered by ARC Group Canada Cunningham recommended that settleARC Group Canada is a national that policy. network of independ network of independent law firms, ment meetings be conducted in person each intimately And your lists aren’t theintimately same. each connected to their or by video conferencing. He rejected their local market. telephone meetings. LAT, however, will Insurance and risk When the one vehicle that is involved in experts. Regio predominantly be conducting case conInsurance risk appear management an accident is the one thatand doesn’t on Na experts. Regionalnext? strength. both lists, do you know what happens ferences over the phone. Considering That is th National scope. that FSCO pre-arbitration meetings are ARC does. in-person, this is really a step backGo to As That is the ARC Group. wards. Go to AskARC.com Justice Cunningham wanted hearings to follow three streams: paper reviews, expedited in-person hearings and full in-person hearings. He recommended criteria be adopted to determine under which stream a case falls. Those criteria have not been adopted. Instead, the LAT adjudicator will exercise his or her discretion to determine the format of a hearing. At FSCO, similar discretion existed but all hearings were inperson. Although ARC Group Canada is a national network of independent law firms, each intimately connected to their local market. LAT has suggested that many hearing Insurance and risk management experts. Regional strength. will be paper reviews, will stakeholders National scope. Go to AskARC.com pressure adjudicators to provide more in-person hearings? A number of other recommendations by Justice Cunningham seemed to have The ARC Legal Reporter been abandoned. The settlement of fuWinter Issue – Article #1 A National Network of Independent Law Firms ture medical and rehabilitation benefits were to have been prohibited until two When is a medical examination considered a second examination years after the date of the accident. The under Rule 36 of the New Brunswick Rules of Court? Statutory Accident Benefits Schedule The ARC Legal Reporter (SABS) has not been amended and setv. Crowther and Kelly Case: Winter IssueReported – Article #1 Blyth 2009 NBCA 80 Citation: tlements will still be permitted one year When both the plaintiff’s physical and mental condition are in issue in an action, an At Issue: A National Network of Independent Law Firms after the accident. In addition, every inthe plaintiff undergoes a physical examination, will a subsequent application for psychiatric examination be considered an application for a second medic surer was to establish an internal review examination? When is a medical examination considered a second examination Should medical examinations that are ordered as part of the discovery process b characterized as ‘independent’ medical examinations? under Rule 36 of the New Brunswick Rules of The Court? Court of Appeal of New Brunswick Court: If you’re in Manitoba, this is considered an automobile. ARC_Fleet ad_1/2 page.indd 1 Reported Case: Citation: At Issue: Judgment Rendered: Factual Summary: If y Manitoba consid auto October 13, 2009 (Reasons delivered November 2015-02-14 26, 2009) 1:05 PM The plaintiff suffered injuries in a motor vehicle accident and commenced an actio seeking damages. Both the plaintiff’s physical state and mental state were in issue the action. The plaintiff submitted to a physical examination by the defendant’s exper but subsequently refused to submit to a psychiatric examination. Blyth v. Crowther and Kelly 2009 NBCA 80 When both the plaintiff’s physical and mental condition are in issue in an action, and Insurance Bureau of Canada’s 20th Annual Financial Affairs Symposium Toronto Bottom Line Greg Meckbach Associate Editor Insurance Bureau of Canada held its 20th Annual Financial Affairs Symposium April 13 in Toronto. Speakers discussed the risk, to insurers’ balance sheets, of earthquake, as well as the progress on a new capital guideline for mortgage insurers and efforts by authorities to address base erosion and profit shifting. Geological hazard The financial risk from an earthquake in Québec is “a lot bigger than maybe people think,” Claudette Cantin, senior vice president, chief actuary and chief risk officer of Munich Re Canada, suggested during Insurance Bureau of Canada’s Financial Affairs Symposium. “We need to create more awareness” on earthquake risk in Québec, Cantin told attendees, in reply to a question on whether or not any risks are under-reinsured. “The pick-up rate on earth- quake in Québec is very small. It is small from our own modelling perspective. I think we have a different view from the market and what the exposure in Québec is, and it’s a lot bigger than maybe people think and I think that this market is really underinsured,” she reported. Cantin was on a panel titled P&C Insurance Perspectives on Reinsurance, the moderator of which was Jonathan Turner, senior vice president and chief financial officer of Swiss Reinsurance Company Ltd.’s Canadian operations. Turner asked panelists how companies view risk in the reinsurance relationship and how important risk reduction, stress testing and managing earnings are. “If I look at Economical, I think historically our focus was predominantly solvency-type aspects, so if you have the ‘big one’ and certainly we have a [British Columbia] presence, what do we look like after that?” said Philip Mather, senior vice president and chief financial officer for Waterloo, Ontario-based Economical Insurance. “How does the reinsurance kick in?” after an earthquake on the west coast, Mather asked. “What does it do to the balance sheet and the capital position after? That can change with a company’s appetite, that can change with a company’s strategy.” 20 Canadian Underwriter May 2016 AMFU Peace of mind coverage, day and night. At A.M. Fredericks Underwriting Management Ltd., we believe that experience makes all the difference. That is why you can count on us to provide peace of mind coverage for all your clients’ needs. As one of Canada’s leading federally licensed Managing General Underwriters, our national expertise in niche and non-standard commercial liability, professional liability and property risks is second to none. Visit us at www.amfredericks.com to learn more! AMFUM_FP_8.125 x 10.75.indd 1 15-03-04 12:10 PM APPOINTMENT Karen Mak B.Sc (Hons), FCIP, CRM Jeff Somerville, President of Strategic Underwriting Managers Inc. (SUM Insurance) is pleased to announce that Karen Mak B. Sc. (Hons), FCIP, CRM has joined the company as Senior Underwriter, Toronto. 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For information about SUM Insurance please see www.suminsurance.ca. 22 Canadian Underwriter May 2016 In October 2013, IBC released a report it commissioned to AIR Worldwide, Study of Impact and the Insurance and Economic Cost of a Major Earthquake in British Columbia and Ontario/Quebec. AIR essentially predicts damages from two possible earthquakes. One — the Eastern Charlevoix Crustal Scenario — is 7.1 on the Richter scale and occurs under the St. Lawrence River northeast of Québec City. Total direct losses were forecast at $49.2 billion. The other hypothetical earthquake — at 9.0 on the Richter scale off the west coast of Canada — could cause $60 billion in direct economic losses to properties and $1.89 billion in direct economic losses to infrastructure in British Columbia, AIR notes. “I think, as a country, we could also be underinsured on west coast quake, purely on the face of deductibles,” said the panel’s third speaker, David Sloan, president and chief executive officer of Aon Benfield Canada. “The economic impact of that, I think, is not fully understood and the personal impact could and will likely be enormous.” Capital standard An international capital standard for global systemically important insurers is “probably not going to have much of an impact” on the Canadian property and casualty insurance industry, Mark Zelmer — deputy superintendent, regulation sector for the Office of the Superintendent of Financial Institutions (OSFI) — said at Insurance Bureau of Canada’s Financial Affairs Symposium. The International Association of Insurance Supervisors (IAIS) “has been busy introducing a capital standard for insurance companies and my colleagues at OSFI have certainly been very actively engaged in that work,” Zelmer said during a presentation, A Regulatory ‘Walk Down Memory Lane.’ He was alluding to the International Capital Standard (ICS), which IAIS notes is part of a project to develop risk-based group-wide capital requirements for global systemically important insurers. “There is no question we will see the emergence of a new international capital standard,” Zelmer predicted. “Like its banking counterpart, it will be very much focussed on internationally active insurance companies, whether they are life companies, p&c companies, you name it.” With ICS, IAIS “aims to create a level playing field in terms of capital requirements for global insurance companies,” IBC president and chief executive officer Don Forgeron said during a separate presentation — Financial Regulation in an Era of Constant Change. The ICS is one development in global regulation “that will likely affect the Canadian p&c insurance industry,” Forgeron told attendees. Profit shifting Efforts by the Canadian government and the Organisation for Economic Co-operation and Development (OCED), to “crack down on multinational corporations that minimize their taxes by operating in many jurisdictions and moving money among them,” is one development that will likely affect Canadian p&c insurers, suggested Don Forgerson, president and chief executive officer of Insurance Bureau of Canada, during IBC’s Financial Affairs Symposium. Forgeron alluded to a section in the federal government’s budget document for the 2016-2017 fiscal year — released March 22 — that refers to base erosion and profit shifting (BEPS). The ruling Liberals report that Canada “is participating in international work to develop a multilateral instrument to streamline the implementation of treaty-related BEPS recommendations, including addressing treaty abuse.” The “overall aim” of OECD “is to close gaps in international tax rules that allow multinational enterprises to shift profits to low-tax jurisdictions,” Forgeron suggested at the symposium. “The OECD and the G20 are currently working on a multinational framework to prevent this practice and we know Canada intends to participate as last month’s federal budget clearly indicates,” Forgeron added. “Because it will involve rules on the re-characterization of capital, it’s an initiative that the insurance industry needs to watch closely.” choice for buyers Speakers at Insurance Bureau of Canada’s Financial Affairs Symposium were asked what effect they think industry consolidation, in global reinsurance, is having on cedents and brokers. “I think, a little surprisingly, to date there has been very little impact from the (mergers and acquisitions) and overall consolidation,” David Sloan, president and chief executive officer of Aon Benfield Canada, said during a panel. The question was posed by the moderator, Jonathan Turner, senior vice president and chief financial officer of Swiss Reinsurance Company Ltd.’s Canadian operations. “In the last two or three years there actually has been quite a lot of activity, varying in type and scale, but I think the real impact has been minimal,” Sloan said. “The market remains fairly fragmented, there is lots of new different forms of capital, which has creating the diversity in it, so it still provides an awful lot of choice for buyers.” guidance for directors Officials with Canada’s Office of the Superintendent of Financial Institutions (OSFI) are working on a “wide range of amendments” to OSFI’s guidelines for corporate boards of directors, as well as a new capital guideline for private mortgage insurers, reported Mark Zelmer, deputy superintendent, regulation sector for OSFI, during Insurance Bureau of Canada’s Financial Affairs Symposium. “We are in the process of reviewing the requirements that we impose on boards of directors across all of our guidance .... to make sure that it is properly aligned with corporate governance guidelines,” said Zelmer. “This is going to result, down the road, in a wide range of amendments to our guidance to make sure that everything is aligned with the corporate governance guideline and you will hear more information from my colleagues later this year.” Zelmer made his remarks during a presentation titled A Regulatory ‘Walk Down Memory Lane.’ “When it comes to capital requirements we are going to have to do something different for mortgage insurers,” Zelmer told attendees. “While we have typically used the (property and casualty) capital framework for both p&c companies and mortgage insurers, we are learning that we are going to have to .... have a different framework for mortgage insurers as opposed to p&c companies given the very different risks that mortgage insurers face and how they play relative to a typical p&c company. So we are working on a new capital guideline for private mortgage insurers which you will see out for public consultation in the near future.” Take your Leadership Defined. Leadership skills to new heights The Fellow Chartered Insurance Professional (FCIP) designation gives you the strategic skills and insights to become an effective leader in any role within your organization. FCIP graduates confirm that they have directly benefited from the broad perspective they gained from the FCIP program’s comprehensive business education with a p&c focus. Are you ready to become an industry leader? Take our short FCIP self-assessment quiz and hear FCIP grads talk about the program at: www.insuranceinstitute.ca/fcip 1-866-362-8585 May 2016 Canadian Underwriter 23 Single Recovery In its ruling in Basandra v. Sforza, the Court of Appeal for Ontario upheld the decision of a trial judge who reduced a jury’s award, from $105,000 to nil, for past and future attendant care, medical/rehabilitation and housekeeping costs. The decision was made to ensure the plaintiff did not recover from the same losses both from no-fault accident benefits and from a tort award. Matthew Owen Associate, Zarek Taylor Grossman Hanrahan LLP In a ruling released April 6, the Court of Appeal for Ontario emphasized that in judgments in lawsuits arising from injuries sustained in motor vehicle collisions, plaintiffs are entitled to be fully compensated for their losses, but not to double recovery. In Basandra v. Sforza, the Court of Appeal considered the deductibility of accident benefits payments in tort pursuant to section 267.8 of Ontario’s Insurance Act. This is good news for the insurance industry. Readers may recall a 2013 decision, by Ontario’s Superior Court of Justice, in Mikolic v. Tanguay and Albano. In that case, Justice Harrison Arrell refused to deduct anything from awards for future loss of income or future care costs. The underlying settlement disclosure notice described lump sum payments for “all past and future income replacement benefits” and “all past and future” medical, rehabilitation and attendant care benefits. However, that notice did not provide a breakdown as to what proportions were for past and future benefits, respectively. In arriving at this conclusion, Justice Arrell relied heavily on a statement made by Justice George Finlayson, of the Court of Appeal, in Bannon et al. v. McNeely, released in 1998. 24 Canadian Underwriter May 2016 Separate apples from oranges In Bannon, Justice Finlayson wrote: “I believe that, where possible, any no-fault benefit deducted from a tort award under [Insurance Act] s. 267(1)(a) must be deducted from a head of damage or type of loss akin to that for which the no-fault benefits were intended to compensate. In other words, and employing the comparison of Morden J. in Cox, supra, if at all possible, apples should be deducted from apples, and oranges from oranges.” In Mikolic, Justice Arrell essentially found that past benefits were apples and future benefits were oranges. As such, precise evidence was required as to what proportion of each benefit was intended for past and future benefits to make the appropriate deductions in tort. In 2013, the Mikolic decision caused some consternation among the defence bar, particularly where the mandated settlement disclosure notice used in the accident benefits realm does not obligate the parties to distinguish between past and future benefits. Instead, it lumps them together. In April, Justice Peter Lauwers, writing for the unanimous three-judge panel in Basandra, threw some cold water on the Mikolic approach. In the underlying trial, the jury made the fol- lowing relevant awards of damages: 1.$55,000 for “past care, medical/rehabilitation and housekeeping;” and 2.$50,000 for “future care, medical/ rehabilitation and housekeeping.” AVOID DOUBLE RECOVERY The evidence at trial in Basandra showed that, in respect of his accident benefit claim, the plaintiff had received $81,658.67 for medical rehabilitation benefits, $58,271.76 for attendant care benefits, and $6,939.84 for housekeeping benefits, which included a 2009 lump sum settlement of all past and future no-fault benefits. As such, while it was clear that the plaintiff had received more in accident benefits than the jury had awarded in tort for these heads of damages, it was not possible to distinguish between past and future entitlements in accident benefits, nor between care, medical expenses and housekeeping in the jury’s awards. The trial judge, Justice Wendy Matheson, was faced with having to determine whether or not it was appropriate to deduct the accident benefits, totaling $146,870.27, from the $105,000 that the jury had awarded for those heads of damages. Justice Matheson recognized the dual objectives of avoiding double compensation on the one hand, and fairness to the plaintiff in receiving full compensation by ensuring only like amounts are deducted on the other hand. So Justice Matheson ultimately determined that the entire jury award — for those heads of damages — ought to be reduced to nil in order to avoid the plaintiff recovering a complete double recovery. Justice Lauwers, writing for the Court of Appeal, agreed with this approach, despite the lack of distinction between the relative proportions that were intended to be for past and future benefits on the accident benefits side, and the lack of distinction between attendant care, medical/rehabilitation and housekeeping in the jury’s award on the tort side. Justice Lauwers began his analysis by reiterating that the Ontario scheme of compensation for motor vehicle accident victims involves an exchange of rights “wherein the accident victim loses the right to sue unless coming within statutory exemptions, but receives more generous first-party benefits, regardless of fault, from his or her own insurer.” Once the plaintiff’s injuries meet threshold, Justice Lauwers observed, the plaintiff can receive no-fault benefits and maintain an action in tort subject to the principle of recovery recognized by Justice Matheson: that the person be fully compensated for their loss, but for no more. “While it was clear that the plaintiff had received more in accident benefits than the jury had awarded in tort for these heads of damages, it was not possible to distinguish between past and future entitlements in accident benefits, nor between care, medical expenses and housekeeping in the jury’s awards.” The purpose of section 267.8 of Ontario’s Insurance Act, was, of course, to prevent double recovery, which amounts to unjust enrichment. LACK OF DISTINCTION Justice Lauwers also reiterated the importance of ensuring that the relevant jury questions, agreed upon by counsel and accepted by the trial judge, distinguish between past and future amounts in order to meet the statutory scheme in a way that permits the trial judge to make the appropriate deductions. The reason for this necessary distinction is two-fold. First, the burden of proof for past awards, being on a balance of probabilities, is stricter than that for future awards, being on a “substantial possibility based on such expert or cogent evidence,” and that pre-judgment interest is only granted for past losses. Second, section 267.8 of Ontario’s Insurance Act distinguishes between entitlements for past and future collateral benefits. Yet in this case, the jury questions did not reflect the statutory scheme in that they did not distinguish between the various heads of damages. Despite this inadequacy, the appeal judges accepted that the trial judge was reasonably assured that the plaintiff had been fully compensated for each head of damage by comparing the relative quantum of accident benefits received against the jury’s award. In doing so, she gave effect to the policy objective of full compensation, while respecting the competing objective of avoiding overcompensation, and committed no error. Best practices might suggest that it would be helpful for an accident benefits carrier to delineate, in the statutory disclosure notice (SDN), what is being paid for past benefits and what is being paid for future benefits, even where the SDN does not require such a breakdown. However, the reality remains that if an accident benefit settlement happens at a point other than the first day of trial, there will still be an evidentiary debate over which of the future benefits have been consumed before trial. As such, there will almost never be exactitude in determining the amounts of past and future accident benefits to which the tortfeasor is entitled to a credit. In Basandra v. Sforza, the Court of Appeal for Ontario softens the lens through which these claims are to be viewed from that which the Court of Appeal articulated 18 years earlier in Bannon v McNeely. An apples-to-apples comparison is still called for when looking at what collateral benefits are deductible in tort. However, when one looks at the purpose of the Ontario automobile insurance scheme — that claimants receive full compensation for their injuries — but nothing more, it has been made clear that an exacting analysis of what type of apple was received by way of collateral benefits is not required to allow for the deduction in tort. May 2016 Canadian Underwriter 25 Tired of Losses Driver distraction and fatigue are believed to be the root causes of many large auto losses. Even when drivers have their eyes on the road, the mere act of talking on a hands-free wireless device can adversely affect both field of vision and the ability to concentrate on the task of driving, one risk management expert cautions. While hours of service regulations stipulate the amount of rest that commercial drivers must have, one sleep expert warns that sleeping at the right time is just as important as getting the right amount of sleep. GREG MECKBACH 26 Canadian Underwriter May 2016 D river fatigue and distraction are major sources of commercial auto losses, insurance professionals report, and one expert contends that authorities need to provide more guidance on random drug and alcohol testing of employees. While texting and driving is getting a lot of attention, one commercial auto expert suggests that it is also dangerous for drivers to use hands-free devices because people are not good at multi-tasking. “When we take a look at our losses and the leading frequencies and severities, many times the indication from the claims notes is people were looking at their cellphone, GPS or texting,” reports Rob Beneze, risk control consulting director, commercial auto for CNA Financial Corporation. “In that regard, distracted driving is a major focus for us when we look at losses from commercial auto.” In addition, impairment from drugs and alcohol also contributes to losses, Beneze adds. In Canada, “what we do tend to see is driver fatigue, or driver error in terms of being on the phone, reaching for their lunch and rolling the vehicle,” notes Ken Parsons, assistant vice president, commercial auto underwriting at CNA Canada. “The losses we have seen coming from either fatigue or distraction have been multi-million dollar losses.” In the United States, 26% of auto crashes involve cellphone use, Beneze reports, quoting from the Itasca, Illinois-based National Safety Council. “There are many other forms of distracted driving, but that has been getting most of our attention in helping to control that factor in commercial losses.” In British Columbia, in 2014 alone, “66 people were killed and 631 were seriously injured in crashes with distracted or inattentive driving as a contributing factor,” a spokesperson for the province’s Ministry of Public Safety writes in an email to Canadian Underwriter. The problem is being studied by experts with Virginia Tech Transportation Institute (VTTI), part of Blacksburg-based Virginia Polytechnic Institute and State University. “Estimates based on cellphone records indicate that cellphone use among all drivers increases the risk of a crash by a factor of four,” VTTI researchers report in an article published in the New England Journal of Medicine. May 2016 Canadian Underwriter 27 COVER STORY Tired of Losses “Distracted driving has been defined as the diversion of attention away from activities critical for safe driving toward a competing activity,” the authors note in the article, Distracted Driving and Risk of Road Crashes among Novice and Experienced Drivers. The authors were: VTTI director Thomas Dingus; three other VTTI academics (Sheila Klauer, Feng Guo and Suzanne Lee) and two researchers (Bruce Simons-Morton and Marie Claude Ouimet) from the Bethesda, Marylandbased Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), part of the U.S. Department of Health and Human Services. “Our analysis showed that the performance of secondary tasks, including dialing or reaching for a cellphone, texting, reaching for an object other than a cellphone, looking at a roadside object, and eating, was associated with a significantly increased risk of a crash or near-crash among novice drivers,” the authors report. “Among experienced drivers, only dialing a cellphone was associated with an increased risk; data on secondary tasks performed by experienced drivers were collected before the widespread use of texting. The secondary tasks associated with the risk of a crash or near-crash all required the driver to look away from the road ahead,” they add. Other organizations studying distracted driving include the Liberty Mutual Research Institute. In a paper in The Journal of the Human Factors and Ergonomics Society, three authors discuss the results of a study in which participants were given text-reading tasks while driving on a test track. “One of the worst potential distractors is reading text information while driving, as it imposes both visual and cognitive interference to driving,” write Yulan Liang, William J Horrey and Joshua Hoffman in the paper, Reading Text While Driving: Understanding Drivers’ Strategic and Tactical Adaptation to Distraction. Liang is a research scientist with Liberty Mutual Research Institute, Horrey is a senior research scientist at 28 Canadian Underwriter May 2016 Liberty Mutual Research Institute and Hoffman is manager of enterprise user experience at Deere & Company, which makes farming, construction and forestry vehicles under the John Deere brand. “We used a text-reading task as distraction to examine whether the type and timing of driving demands, and the formatting of text, influence drivers’ strategic decision-making and “Hands-free is not risk-free. From a distracted driving point of view, it is not the fact that you are holding the device in your hand that’s the problem. It’s having the conversation and how that impacts people’s brains,” contends Rick Geller of Marsh Risk Consulting. tactical time-sharing in a situation in which drivers are fully aware of workload levels and transitions,” the authors write in the Journal of the Human Factors and Ergonomics Society. In their study, they “hypothesized that drivers would choose the area with relatively low driving demands to initiate text reading.” However, most participants in that study “initiated the secondary task be- fore they had passed the demand zone even though they would have had enough time to complete.” CLOSE CALLS Other research — conducted in conjunction with VTTI — shows that a driver’s crash or “near crash” rate “nearly tripled when reaching for, answering or dialing a cellphone,” reports the Insurance Institute for Highway Safety (IIHS) of Arlington, Virginia. In an experiment, VTTI researchers “coded a near-crash event when drivers braked hard or made a sudden evasive manoeuvre to avoid a conflict,” IIHS reports. “Distracted driving is a huge issue right now,” contends Rick Geller, Toronto-based vice president and transportation industry leader at Marsh Risk Consulting. “When we are talking distracted driving, we tend to focus in on smartphones and cellphones and hands-free, those kinds of issues. But really, when you are talking distracted driving, anything that takes your eyes off the road for more than about two seconds falls into that category of causing a distraction. Things like eating, shuffling paper, looking at GPS screens,” Geller explains. What is worse is that operators who use hands-free devices to talk on their mobile phones are not necessarily giving their full attention to the road, and Geller suggests that insurance providers “need to raise awareness” of this fact. “When you are talking on the phone, whether it’s hands-free or actually holding the device, your ability to process moving images decreases by about a third, and your field of view narrows by about 50%,” Geller warns. “Handsfree is not risk-free. From a distracted driving point of view, it is not the fact that you are holding the device in your hand that’s the problem. It’s having the conversation and how that impacts people’s brains,” he points out. When multi-tasking, people’s brains need to “toggle” between the functions they are trying to perform, Geller explains. To illustrate that point, DRIVE YOUR BUSINESS FURTHER HAGERTY KNOWS HOW IMPORTANT EFFICIENCY IS TO YOUR BUSINESS. We work to create better options for brokers, like our improved online portal and vehicle valuation tools, with no appraisals required. Hagerty’s commitment continues with our streamlined online quoting, Agreed Value 19A coverage and resourceful local field staff. For same-day sign up & quoting visit hagertybroker.ca, email [email protected], or call 888-216-2379. Coverage available in AB, BC, NB, NL, NS, ON & PEI. Hagerty Canada, LLC policies are underwritten by Elite Insurance Company, an Aviva Canada company. COVER STORY Tired of Losses “I ask people to say the letters A to I as quickly as you can and then say the numbers 1 to 9 as quickly as you can,” he says. “Most people can rattle them off fairly quickly. But then if you try and go ‘A1B2C3,’ watch how much that slows you down, because your brain has to toggle between letters and numbers.” SLEEPING PATTERNS Driving while drowsy is also a problem among commercial operators, Geller suggests. “It goes beyond just compliance with the hours of service regulations,” he says, referring to federal and provincial regulations that stipulate hours of service. In Canada, the federal government regulates commercial drivers’ hours of service, for commercial operators who cross provincial borders, Geller notes, reporting that “most often” the federal and provincial hours of service regulations “mirror each other.” In Ontario, for example, commercial drivers “must have 10 hours off-duty in a day,” the Ministry of Transportation explains. Drivers are not allowed to drive more than 13 hours in a day and may not drive after being on duty for 14 hours, the ministry adds. “Typically, when people look at drowsy driving, they are usually thinking after midnight and certainly that is one of peak times, but there is also a peak time of 2 pm to 4 pm,” Geller notes. Alistair MacLean agrees, noting the other peak time for crashes is between 4 and 6 am. “Those both coincide with our biological alertness rhythm,” reports MacLean, a psychology professor at Kingston, Ontario-based Queen’s University. MacLean’s areas of expertise include the effect of sleep loss and sleepiness on skills such as driving. “It’s great saying you’ve got enough time to get good sleep but if that’s between 8 am and 4 pm, and you are typically on a daytime cycle, your body isn’t ready to go to sleep at that time,” MacLean contends. “So I think getting 30 Canadian Underwriter May 2016 the balance between the amount of sleep and the pattern of sleep is probably an important factor.” But MacLean notes the role of the circadian rhythm is not well-understood. “Our attentional capacity waxes and wanes throughout the 24-hour period, as does our level of sleepiness,” MacLean explains. “So sleep is not something that, as it were, you could just pick up and teleport to any part of the 24 hours.” dent) and Dr. Peter Munt (founder and director of the Sleep Laboratory at Kingston General Hospital, who died in 2012). Those researchers “looked at the relationship between alcohol and sleep loss,” MacLean recounts. “If you’ve got somebody getting up at 8 in the morning, and then staying up all day and then driving through the following night, by about 2:30 am their driving is as bad as if they had (.05%) blood alcohol level, and by 5 am it is as bad as if they were at .08% blood alcohol level,” MacLean suggests. “We thought, ‘Society has already decided that .05 or .08% blood alcohol level is unacceptable,’ so we used those as standards against which to judge the sleepy driving,” MacLean reports. CATCHING TIPSY DRIVERS “What we do tend to see is driver fatigue, or driver error in terms of being on the phone, reaching for their lunch and rolling the vehicle. The losses we have seen coming from either fatigue or distraction have been multi-million-dollar losses,” reports Ken Parsons of CNA Canada. MacLean is co-author of a paper, published in 2001 in Accident Analysis and Prevention, titled How do prolonged wakefulness and alcohol compare in the decrements they produce on a simulated driving task. MacLean’s co-authors were Queen’s Psychology professor Gerald Wilde, J. Todd Arnedt (then a Queen’s PhD stu- It is a criminal offence in Canada to drive with a blood alcohol level of .08% or greater. However, some provinces have administrative suspension programs for drivers with lower blood alcohol levels, MADD Canada reports. British Columbia, for example, has had an automatic roadside prohibition regime (ARP) since 2010. The province imposes a mandatory driving prohibition when a motorist registers a warn (blood alcohol level of .05% or more) or fail (.08% or more) on a screening device. That regime was challenged, unsuccessfully, on constitutional grounds by Richard Goodwin and other B.C. motorists who had been subject to 90-day roadside driving prohibitions — and had their vehicles impounded 30 days — after either failing to provide breath samples or failing the roadside breath tests ordered by police or peace officers. Insurance Bureau of Canada (IBC), which had intervener status in Goodwin’s appeal, gives examples of measures proposed and in place in Canadian provinces and territories. For example, the Saskatchewan government amended its Traffic Safety Act to “provide for immediate licence suspension for drivers who have [blood alcohol concentration] of .04% or more, We are Markel. Commercial general liability Cyber risks insurance Directors and officers liability Environmental impairment liability Life sciences Professional liability Property and inland marine Security and protection industry Umbrella and excess liability Helping brokers with effective insurance solutions since 1966 Calgary Montreal Toronto Vancouver www.markelinternational.ca CA corp advert CU 8.125x10.75.indd 1 14/03/2016 13:44 COVER STORY Tired of Losses immediate roadside vehicle impoundment, and increased penalties for new drivers found operating vehicles while having consumed alcohol or drugs,” IBC reports. The Supreme Court of Canada ruling, Richard James Goodwin, et al. v. British Columbia (Superintendent of Motor Vehicles), et al. which upheld roadside licence suspensions and vehicle impoundments in B.C., was released October 16, 2015. Goodwin and the other motorists argued, among other things, that the province did not have the power to impose penalties on motorists found to be impaired because the constitution gives the federal government exclusive power over criminal law. But all seven Supreme Court of Canada judges who heard the case disagreed. “No doubt the ARP scheme has incidental impacts on criminal law,” Justice Andromache Karakatsanis wrote on behalf of six of the seven judges who heard the case. “No doubt it targets, in part, specific criminal activity and imposes serious consequences, without the protections attendant on criminal investigations and prosecutions,” Justice Karakatsanis noted of B.C.’s ARP system. “However, the consequences relate to the regulation of driving privileges.” Chief Justice Beverley McLachlin dissented, in part, but not on the division of powers issue. As an intervener, IBC’s submission was limited to the division of powers between the provinces and the federal government. “As it relates to this case, the actual historical loss data used by insurers is presently based on the provincial administrative and civil impaired driving regimes and other comparable safety schemes in place,” IBC notes in its factum. “IBC submits that the striking down of the ARP regime, and similar provincial and civil impaired driving legislation, would have the effect of increasing road collisions to a degree that is not reflected in current insurers’ historical claims records and premiums.” 32 Canadian Underwriter May 2016 Since B.C. implemented its automatic roadside suspensions in 2010, there has been “a 52% decrease in drinking and driving fatalities,” the B.C. Public Safety spokesperson writes. “If you’ve got somebody getting up at 8 in the morning, and then staying up all day, and then driving through the following night, by about 2:30 am their driving is as bad as if they had (.05%) blood alcohol level, and by 5 am, it is as bad as if they were at .08% blood alcohol level,” suggests Queen’s University psychology professor Alistair MacLean. LACK OF GUIDANCE “Incidents of a commercial motor vehicle driver being impaired and involved in an accident is almost unheard of,” says Geller. “It’s probably less than 1% of crashes. It’s a very, very rare occurrence.” However, he adds, “there are a couple of public policy issues we need some guidelines on.” One is medical use of marijuana, which “really does require further study,” Geller contends. “Right now people are authorized to use it, but it hasn’t been studied enough to make it on to the list of prescribed medications and that kind of creates a grey area and some difficulty for how companies should manage it.” The other public policy issue in need of further guidance is alcohol and drug testing for workers in safety-sensitive positions, Geller suggests. One organization implementing random drug and alcohol testing for employees, in safetysensitive positions, is the Toronto Transit Commission (TTC). “We will now take steps over the next few months to finalize the program, including hiring a third party to administer and implement random alcohol and drug testing at the TTC,” the transit commission’s chief executive officer, Andy Byford, writes in an April 18 letter to Toronto public transit employees. “Since 2010, when the Fitness for Duty policy allowing for several forms of testing, but not random testing, was implemented, there have been continued instances of impairment while at work,” Byford writes. “That is simply unacceptable. How do we not strengthen our existing Fitness for Duty policy with a proven deterrence of random testing?” In 2014,” there were 16 cases of impairment or refusal to take an impairment test, 30 such instances in 2015 and six from January to the end of March this year,” a TTC spokesperson writes in an email to Canadian Underwriter. It was not clear whether or not all of those employees were drivers. The issue of random drug and alcohol testing in the workplace was the subject of a Supreme Court of Canada ruling, in 2013, in the case of Communications, Energy and Paperworkers Union of Canada, Local 30 v. Irving Pulp & Paper, Ltd. “The fact that a workplace is found to be dangerous does not automatically give the employer the right to impose random testing unilaterally,” wrote Justice Rosalie Silberman Abella, on behalf of six of the nine Supreme Court of Canada judges, in Irving. “The dangerousness of the workplace has only justified the testing of particular employees ACCEPT THE BATON. 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WALK. 29554_RelayAd_Magazine.indd 1 3/29/16 9:24 AM COVER STORY Tired of Losses “The actual historical loss data used by insurers is presently based on the provincial administrative and civil impaired driving regimes and other comparable safety schemes in place,” Insurance Bureau of Canada writes in a factum to the Supreme Court of Canada. in certain circumstances: where there are reasonable grounds to believe that the employee was impaired while on duty, where the employee was directly involved in a workplace accident or significant incident, or where the employee returns to work after treatment for substance abuse.” In 2006, Irving Pulp and Paper Ltd. brought in random alcohol testing for employees at a mill in Saint John, New Brunswick. CEP Local 30 filed a grievance challenging the random testing aspect of the policy. An arbitration board allowed CEP’s grievance, but the board’s ruling was set aside — by the New Brunswick Court of Queen’s Bench — on judicial review. The New Brunswick Court of Appeal also disagreed with the arbitration board, but the Supreme Court of Canada allowed CEP’s appeal, with the majority agreeing with the arbitration board, in that Irving “had not demonstrated the requisite problems with dangerousness or increased safety concerns such as workplace alcohol use that would justify universal random testing.” The arbitration board held that random alcohol testing was “an unreasonable exercise of management rights” under its collective agreement with CEP. 34 Canadian Underwriter May 2016 Quoting from case history, Justice Abella noted the Supreme Court of Canada has ruled in the past that “seizure of bodily samples is highly intrusive and ... subject to stringent standards and safeguards to meet constitutional requirements.” In Irving, “the Supreme Court said employers have to show drug and alcohol abuse is a problem,” the TTC spokesperson told Canadian Underwriter. “Because we see these numbers continue to rise, we have an obligation as a public transit agency and as an employer of 14,000 people to make the TTC as safe as we can possibly make it.” TTC’s policy applies to all employees in safety-sensitive positions. For alcohol and drug testing for people in safety sensitive positions, “there does need to be further independent study so that we can come up with guidelines and not after the fact,” Geller says, commenting in general and not on the TTC specifically or on the Irving ruling. “Let’s have the discussion now while it is still philosophical.” There are privacy issues involved in random drug and alcohol testing of commercial drivers, suggests CNA Canada’s Ken Parsons. “Each case will have to be measured on its own merits,” Parsons says, com- menting in general and not on either the TTC or the Irving decision. “We are extremely sensitive, at least in Canada, that it has to be germane to the employment and we have to respect the rights of the individual and the courts will hold us to an extremely high standard.” But the hazards of impaired, distracted or drowsy drivers can be mitigated with autonomous vehicles, Parsons suggests. “It won’t eliminate all of the accidents but will eliminate a great percentage of them,” Parsons predicts, pointing out that the computers that control autonomous vehicles “can’t get drunk and they can’t get stoned.” Driver assist technologies — such as forward collision warning, adaptive cruise control and lane departure warning systems — “are helping improve driver and vehicle safety,” Beneze reports. “If you keep in mind that driver error is considered to be a 90% contributor to automobile accidents, when you have autonomous vehicles that are programmed to do everything correctly, I am not saying you will get rid of 90% of the automobile accidents, but it will reduce them significantly as we have more autonomous vehicles on the road,” Beneze believes. 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When placing commercial liability coverage, insurance brokers should never tell policyholders how much coverage is enough. Clients should be advised there is always a possibility of being underinsured for a potential judgment or settlement. During a heavy windstorm, an improperly constructed sign was destroyed. A portion of it struck and seriously injured a pedestrian. The accident caused significant spinal injuries, leaving him without the use of his legs. As a result, he was unable to support himself or his young family. The sign was owned by a developer, installed by an independent contractor and located on property owned by a third entity. The injured pedestrian sued in an action alleging negligent construction, supervision/inspection/maintenance and occupiers’ liability against the three parties. The claimant’s lawyer pleaded relief seeking $33 million in damages including future care costs, future lost income and loss of companionship, among other claims. 36 Canadian Underwriter May 2016 The developer was adequately insured, but the independent contractor and property owner had each only purchased $5 million of commercial general liability (CGL) coverage, based on advice from their respective brokers. The case was eventually settled for $16 million, with $6 million assessed against the independent contractor, $2 million against the property owner, and $8 million against the developer. At the time of this accident, there had been public press coverage of automobile and general liability claims, and medical malpractice judgments and settlements in Canada that exceeded $10 million. In this case, the independent contractor was not adequately insured for the settlement value. If the property owner had been advised by its brokers that there had never been a liability claim in Canada exceeding $5 million, the owner might not have been adequately insured, either. Other than the developer, these clients did not receive the necessary advice on exposure and risk management from their respective insurance brokers. As policy limits change, as new and different Illustration by Scot Ritchie Unlimited Liability Illustration by Scot Ritchie claims are taken to court, and as new risks arise, clients expect their brokers to provide advice that ensures they have necessary coverage. What is a broker’s responsibility in advising clients regarding the adequacy of policy limits? How can brokers ensure they are meeting their ethical commitment to protecting their clients? Bradley J. Wells, LLB As occurred in this scenario, the verdict (and settlement) value of an unexpected catastrophe resulting in partial paralysis (or worse) will easily exceed a $1-million or even $5-million limit. A prudent broker should advise the client about the highest liability limits available in the marketplace, with candid disclosure of where other markets might be approached if additional limits are needed. Once the pricing and Coverage Counsel Snowden LLP Brokers are held to a high professional standard by Canadian courts. This is sometimes described as a stringent duty to provide correct information and advice to their clients. The duty includes providing ongoing advice on which coverage is needed to protect against foreseeable losses. A Registered Insurance Brokers of Ontario (RIBO) licensing course instructor once advised students that they should never tell a client how much liability insurance is enough. Even if directly asked, brokers should never give a maximum liability limit as “sufficient”. Instead, a broker should advise the client on which limits are available and the associated premium. A broker should assist, not instruct, the client to determine sufficient limits. In this scenario, it seems the independent contractor’s broker gave bad advice on liability limits and did not adequately discharge its obligation owed to the client. However, one would need to look back at the broker’s file to see the advice that was requested, the advice that was given and whether or not this advice was followed. A careful professional will always make a written record of risk management questions received from clients and the answers or advice given. When considering which limit to purchase, a client will be tempted to think in terms of the average or common losses and choose a less costly limit. However, a broker providing advice on limits should invite the client to consider the “worst-case” scenario that could result in catastrophic injury or damage. A broker’s role is to work with the client to determine the best coverage possible within the client’s budget. limits options are laid out, the broker can inform the client of the serious property and casualty (or other relevant line) exposures from a claims settlement perspective. At this point, the broker can step back and let the client decide for himself or herself what policy is desirable and affordable. This way the broker has educated the client, satisfying the professional duty owed, and the client can make an educated business decision. Scott Meadwell Commercial Lines Producer Meadwell Mowat & Fennell Insurance In this scenario, the most concerning issue is that the broker advised the cli- ent that no court case had ever exceeded a claim of $5 million. Brokers should never assume they know all legal decisions and settlements. Most financial payouts result from out-of-court settlements, and it is impossible to know these cases when many of them include non-disclosure terms. While brokers should never discuss maximum possible payouts to a client, they can discuss the risks associated with limits and allow the client to make an informed and comfortable decision. Each broker must determine the comfort level of each client with regard to liability limits. Most clients will weigh the risk against the possibility of going “insurance poor” if the broker tries to place insurance against claims of all sizes. It is a good practice to inform the client that there is always a possibility of being underinsured. Regardless which policy limits the clients choose, the broker should tell clients that higher limits are available if, and when they choose to explore them. In this scenario, it is impossible to comment on whether or not a prudent broker would consider these clients underinsured prior to the loss without knowing much more about the companies involved. It is easy to say that a client is underinsured after a loss, but prior to the loss, not many brokers would consider a property owner underinsured with $5-million limits. The term “underinsured” has a very different meaning post-loss then it does prior to the loss. In the absence of a crystal ball or bottomless pockets for insurance, the best advice is to communicate with each client and revisit the limits of coverage annually. This way, the client is represented in the best manner possible, and that is the goal as professional insurance brokers. Diane Brickner, CIP President & Chief Executive Officer Peace Hills General Insurance Insurance brokers have a tremendous amount of information readily available to them, such as trade articles or May 2016 Canadian Underwriter 37 online information that will assist them in having an informed discussion with their client about how much coverage is enough. They can certainly advise a range of coverage, but it is up to the client to choose the limits. A broker who advises a client that there has never been a liability claim in Canada exceeding $5 million should have his or her license revoked. That broker should probably find another career outside the insurance industry. It is a huge disservice to a client to suggest a specific amount of liability coverage is adequate. A broker cannot know what a judge will determine in court, nor can he or she profess to be experienced in such areas as professional risk management or fiduciary responsibilities. A broker’s Recent Insurance Press Releases featured on insPRESS.ca responsibility is to understand the business of their clients and learn the risks they may face with as much knowledge and insight as they can obtain. A broker’s role is to work with the client to determine the best coverage possible within the client’s budget. THE LAST WORD From an ethical perspective, the best approach is to ensure that clients understand their extreme risk profile, not based on known precedence but, rather, on the best possible risk profiling and assessment of all the available options. 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From a client relationship perspective, best practices suggest that brokers maintain regular, frequent and appropriate communication with their clients to ensure they are aware of changes in their client’s risk profile and that their clients are appropriately covered. Brokers should always retain thorough notes. As a client’s business grows or changes, a broker must ensure that he or she is providing their clients with information customized to the evolution of the client’s business. Not only is this the broker’s professional duty, but it is also the added value brokers should be bringing to their clients, as a trusted advisor. MARK YOUR CALENDAR! Tuesday, August 30, 2016 SHERATON CENTRE TORONTO Turning Insurance Outside-In Leading analysts and practitioners agree: To meet customer expectations over the next decade, we need to turn insurance Outside-In. Customers are comparing insurance products and services against a wide range of other offerings and suppliers. Continuous improvements in the total customer experience — from product development and marketing, through the sales and service domain, to fulfillment at time of claim — will be an essential differentiator for the next decade. The 2016 Insurance-Canada.ca Executive Forum will bring together a faculty that understands — and lives — the broader customer experience from a variety of perspectives. We are including executives from outside the P&C community to share their successes and challenges. Keynote Presentation: “Defining and Operationalizing an Effective Digital Strategy” –Joseph Cooper, Global Technology Executive Joe will underscore key digital elements impacting insurers, and the dramatic pace of change facing the insurance community. 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For information on sponsor opportunities, please contact: Kathryn Bertsch 416-244-4361 [email protected] Doug Grant 416-921-7756 [email protected] Patrick Vice 416-540-3008 [email protected] PRESENTED BY For more details, please visit www.insurance-canada.ca/icef Adding Risk Mandip Hullait Director, Commercial Auto, RSA Canada Modifications to commercial vehicles, such as cranes and welders, can give rise to insurance coverage issues. When slip tanks are added, this should get commercial auto brokers thinking about pollution liability risk. Modifications to commercial vehicles, especially involving the transportation of hazardous substances, can affect both safety and insurance coverage. When vehicles are carrying cargo such as fuel, fleet managers need to consider the risk of long-tail liability in the event of a pollution incident, and methods of reducing the risk of spills into bodies of water. Commercial vehicles are subject to minimum performance standards to ensure their safe operation. Examples include Canada’s National Safety Code standards under the mandate of Transport Canada and the Canada Motor Vehicle Safety Standards. Evidence of safety fitness certificates (SFCs) are also required by provincial authorities for 40 Canadian Underwriter May 2016 trucks, tractors or trailers that have a registered gross vehicle weight exceeding 4,500 kilograms. Whether operating light vehicles or heavy trucks, fleet managers should include the impact of modifications on safety. Examples of modifications that could affect operations include adding a slip tank, welder, crane, bucket or toolbox. It is also very important to install these components properly to avoid any unsafe conditions. During installation, safety devices must not be disabled or circumvented. One should also take into careful consideration the types of activities the vehicle is expected to perform and ensure it still meets all the requirements outlined in a company’s fleet safety program. Understanding auto coverage Clients who have modifications carried out on their vehicles need to be aware of considerations concerning insurance coverage. One is the thirdparty liability arising out of the operation of the attached equipment that is non-automobile in nature; the other is the physical damage to the attached equipment. It is important for the broker to speak with the client to ensure the right type of coverage is in or rivers. A common example in Western Canada is in the oil and gas sector, where heavy equipment is loaded with dangerous goods on a regular basis for oilfield operations. When dangerous goods are being transported, there are several ways of mitigating exposures. For example, fleet managers can pre-plan trips to avoid rough terrain as much as possible. Another example of a risk mitigation method is to plan alternate routes that will avoid passing near any bodies of water. This can mean the difference between shorter-term, less expensive environmental clean-ups and clean-ups that drag on for years. When a body of water is involved, the risk is significantly higher, and high claims costs can drive up the overall insurance costs. place for the type of modifications being completed and the function of the equipment that is separate from transportation and travel. Modified commercial vehicles may also increase the severity of claims because they inherently are more expensive with their additional equipment or modifications to replace. In addition, the added weight of these vehicles may increase the chances of fatal accidents and loss of life. Aside from vehicle modifications, another often noted concern around fleet vehicles is adequate environmental protection. While pollution may not be excluded from a commercial auto policy, the client may wish to purchase extra coverage if there is higher risk, given the type of commodities carried in the commercial vehicle. One example would be a fleet hauling fuel as a core part of its operations. Insurance Bureau of Canada (IBC) is one source that offers some preventive tips for fleet managers. These tips, on mitigating risk, include implementing policies and procedures, such as incorporating safety training for proper fuel storage and disposal. For fleets hauling fuel, there are also long-tail liability concerns with pollution if substances spill into nearby lakes While pollution may not be excluded from a commercial auto policy, the client may wish to purchase extra coverage if there is higher risk, given the function of the commercial vehicle. The value of advice IBC offers step-by-step instructions to help clients manage these types of claims most effectively. Risk control consultants can advise fleet managers to make sure they have the right kind of controls and measures in place to mitigate loss. Brokers need to ask the right types of questions to ensure adequate protection is put in place to control commercial auto exposures in accordance with a business’ unique needs or challenges. May 2016 Canadian Underwriter 41 Bates Revisited Partner Samis + Company Jenna Meth Lawyer Samis + Company In 1992, the Supreme Court of Canada ruled that insurers can determine auto insurance rates for drivers using discriminatory criteria such as age and sex. The court held that a discriminatory practice is “reasonable” if it is based on “sound and accepted insurance practice” and there is no practical alternative. Would this decision hold up today, in an era of telematics, drones, Facebook and the Kardashians? In other words, with 30 years of progress in databases and resources, should age and gender still be bona fide reasons for segmenting risk? 42 Canadian Underwriter May 2016 Approved criteria All Ontario insurers writing non-fleet auto insurance must have their rating and classification systems approved and authorized by the Financial Services Commission of Ontario (FSCO). The Private Passenger Automobile Filing Guidelines are followed when a company is initially entering the private passenger auto market or changing its rates or risk classification system. Every model of car and light truck for every model year is grouped according to assessed risk, the expected claims frequency, cost and the likelihood that it will be stolen. A higher Canadian Loss Experience Automobile Rating (CLEAR) number indicates a higher claims risk; a lower CLEAR number indicates a lower claims risk, which is reflected in lower insurance rates. Ontario’s Insurance Act and its regulations give FSCO the power to control rates. Underwriting rules that are deemed subjective or arbitrary, bear little or no relationship to the potential risk to be assumed, or are deemed contrary to public policy by FSCO’s superintendent are prohibited from being used. Regulation 664 indicates that, except as permitted under subsection 16(5), no element of a risk classification system shall use any of a number of factors, including income, employment history, credit rating, and physical or mental Illustration by Scot Ritchie Daniel Strigberger In the early 1990s, the Supreme Court of Canada found there were no practical alternatives — as of 1983 — to rating auto policyholders on the grounds of age, sex and marital status. But would today’s telematics products, which detect acceleration, braking, and cornering, help provide such alternatives? Illustration by Scot Ritchie 2 16 September 28 - 3 0 The Westin Bayshore, Vancouver, B.C. Register Now! www.niccanada.com The NICC is Canada’s pre-eminent insurance conference attended by senior executives of insurers, brokers, reinsurers, risk managers, regulators and industry associations. Sessions include: • The View from OSFI • Client-Centricity Shouldn’t Be a Foreign Language - External and Insurance Views • The Road We’re Heading Down • Are Commercial Insurance Distribution Models Changing? Together with our senior advisory committee of industry CEO’s, we are once again making the NICC a can’t miss industry leadership event. NICC 2016 is accredited by RIBO: 9 hours Management • Harnessing The Power of Data Analytics in the Insurance Space • Global Deals - Local Consequences - UN Climate Conference, Feeling the Heat • Understanding The Blockchain Potential • Preparing for Seismic Risk in Canada - A Multi-Disciplinary View • Global Leaders’ Panel • The Future of Market Conduct Regulation • Are We Ready for the Cyber Threat Horizon? Platinum Sponsors Gold Sponsors Keynote Speaker Jessica Yellin Award-winning former Chief White House correspondent for CNN 2016 NICC Emcee Amanda Lang Where Industry Leaders Meet Silver Sponsors Media Sponsors health. There are no prohibitions against using factors such as age and sex. The Ontario Human Rights Code provides individuals with protection against discrimination in areas of race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity, gender expression, age, marital status, family status or disability. However, under Section 22 of the Human Rights Code, those rights are not infringed upon where some insurance contracts (including automobile polices) differentiate or make distinctions, exclusions, or preferences “on reasonable or bone fide grounds because of age, sex, marital status, family status, or disability.” Discrimination complaint In the 1980s, an insured named Michael Bates brought a human rights complaint against Zurich Insurance Company, alleging that he, a young single, male driver, had to pay insurance rates that were higher than comparable classes of individuals. Bates alleged that this practice was contrary to the Human Rights Code. The insurer acknowledged that its practices were prima facie discriminatory, but argued that they fell within the “reasonable and bona fide grounds” exception contained in the code. This case proceeded to the Supreme Court of Canada. In a 1992 split decision, Justice John Sopinka, writing for the majority, defined the test for “reasonable and bona fide grounds,” stating that a discriminatory practice is “reasonable” if it is based on “sound and accepted insurance practice” and there is no practical alternative. “Soundness” means the practice was desirable to adopt for the purpose of “achieving the legitimate business objective of charging premiums that are commensurate with risk.” Whether or not there is a practical alternative is a question of fact. For a practice to be bona fide, it must be “adopted honestly, in the interests of sound and accepted business practices and not for the purpose of defeating the rights protected under the Code.” 44 Canadian Underwriter May 2016 The Supreme Court of Canada was clear in Zurich that the insurance industry bears the responsibility of making a concerted effort to develop methods of rating that are not based on discriminatory grounds, while still reflecting the disparate risks of different classes of drivers Lack of alternatives A considerable portion of the majority’s analysis was devoted to the availability of practical alternatives. It ultimately concluded that, at the time the complaint was brought, there were no practical alternatives to rating on prima facie discriminatory grounds such as age, sex, and marital status. The Court was clear, however, that this did not mean there never will be practical alternatives. Justice Sopinka concluded by stating that the insurance industry “must strive to avoid setting premiums based on enumerated grounds.” On dissent, Justice Beverley McLachlin (Chief Justice of Canada since 2000) found the insurer had not demonstrated an absence of practical alternatives. She was initially inclined to accept the argument that Zurich had no practical alternative because, in 1983, it did not possess statistics based on non-discriminatory grounds. However, she blamed the Superintendent of Insurance for not requiring insurers to collect such data. Upon reflection, however, Justice McLachlin found that this absence of statistics did not demonstrate the absence of a practical alternative; it merely established that “we do not know whether viable alternative bases of risk evaluation exist.” Accordingly, she found that Zurich had not met its burden of proving there were no practical alternatives to its prima facie discriminatory rating system. She did, however, agree with the majority that the insurance industry should be allowed time to determine whether or not it can use non-discriminatory factors to set premiums. Risk Rating in 2016 Does today’s insurer have practical alternatives to its prima facie discriminatory rating system? One would think that the exponential growth in technological advances over the past 24 years since the supreme court’s decision has, or should have, provided today’s insurers with practical alternatives. The most obvious argument supporting “practical alternatives” is the availability of telematics or “usage-based insurance.” Today, a number of insurers are using vehicle telematics to help determine risk. Sensors and communication devices track common driver behaviours, such as accelerating, braking, and cornering. They also track driving characteristics, such as when a driver gets behind the wheel and where he or she is going. The insurer can then analyze the resulting data and assess risk. In 2014, Ontario drivers with Des- jardins Insurance were offered a usagebased product called Ajusto, which monitors activities such as the time of day a driver is driving, the distance the person drives in a year, and how fast the person is braking and accelerating. The company has offered users discounts on their premiums based on their driving habits, which are recorded by Ajusto. Another alternative might come in the form of online databases or surveys. It is difficult to surf the Internet today without being prompted at least once to complete a survey. Perhaps the insurance industry can use similar surveys with their customers (or potential customers) to gather information about driving habits. natory grounds, while still reflecting the disparate risks of different classes of drivers. It may be arguable that the decades that have passed since this decision was issued have afforded the industry ample time to determine whether or not alternate grounds are viable. That said, however, it is not clear whether or not a set of non-discriminatory criteria as effective as age, gender and marital status has emerged to replace the historical practice of rating on these grounds. The Supreme Court notes that this does not permit insurers to stop trying to establish, test and build data based on alternate grounds, with the long-term goal being to move away from prima facie discriminatory practices. Perhaps a few more years of telematics will assist. The Broker’s Source for Specialty, Niche & Non-Standard Risk since 1973! One would think that the exponential growth in technological advances over the past 24 years since the supreme court’s decision has, or should have, provided today’s insurers with practical alternatives. That said, one major obstacle for insurers today might be privacy. Everyone lives in an age where companies are getting slammed for privacy breaches. Courts are doing whatever they can to protect privacy rights and punish those who infringe them (a case in point is the Court of Appeal for Ontario ruling in Jones v. Tsige). Desjardin’s Ajusto has already raised some privacy concerns, with fears that customers might not fully understand how the company is tracking their usage and what might happen with that data over time. 10 15 Search the Marketer Online at: InsuranceMarketer.com Order Extra Copies of Print Edition (published July): http://bit.ly/marketerorder Going Forward The Supreme Court of Canada was clear in Zurich that the insurance industry bears the responsibility of making a concerted effort to develop methods of rating that are not based on discrimi- For more than 40 years, Canadian Underwriter magazine’s Insurance Marketer has been the trusted source to assist insurance brokers in finding a market for the most unique risks. May 2016 Canadian Underwriter 45 Putting the pieces together. Events and Seminars Calendar You work hard to protect your clients’ property. Now, it’s time to ensure that you apply the same kind of energy and commitment to your own success. CIP Society Events and Seminars give you the opportunity to learn, to network, to catch up on industry developments and to think about your career. CIP Society Events CIP Society Seminars and Professional Development Courses Surrey - CIP Society Golf Tournament ..................................................... June 3 Toronto – Essential Management Skills .............................................................................May 17-19 Uxbridge - CIP Society Fellows’ Golf Tournament ........................... June 6 Ottawa - Ottawa Fury Game ......................................................................June 11 ADVANTAGE Live Webinar: The 3 D’s changing customer expectations ...............June 2 in the insurance industry: Digital, Data, and Demographics Victoria - CIP Society Golf Tournament ................................................June 22 Edmonton - Essential Management Skills............................................................................ June 7-9 Edmonton – CIP Society 28th Annual Golf Fun Day .......................July 18 Ottawa - CIP Society Spring Luncheon - MVA: ....................................................................June 14 The Future of Accident Reconstruction Calgary - Lie to Me Interview Essentials and Linguistic Lie Detection .................June 22 Looking for information and research on the latest trends in the p&c industry? Go to insuranceinstitute.ca and visit the CIP Society’s INFORMATION SERVICES section for a free online library of Trends Papers, with topics like Uber, Airbnb, and Drones. Joining Forces The consolidation trend continues in the property and casualty market in Canada, as carriers seek new product lines and distribution channels. But a sound integration plan, including technology, legal and actuarial processes, is just as important as selecting an acquisition target. Janice Deganis Canadian Insurance Leader, EY Ron Stokes Canadian Financial Services Transactions Leader, EY The fragmented property and casualty industry in Canada continues on its consolidation track. This has implications for all of the players in the industry, whether they are acquiring, divesting or simply trying to compete with increasingly larger competitors. Canadian p&c carriers operate in an ultracompetitive market, with ongoing pressure on margins. Competition on price, the continuing outlook for low investment yields and other factors impacting profitability have once again put the spotlight on expense efficiency. Many business models will not be sustainable unless management teams can find ways to cut costs. This pressure is leading many groups to improve margins by merging. The results of Ernst & Young (EY)’s latest Capital Confidence Barometer, indicates Canadian executives overall report renewed optimism about the Canadian economy and a healthy sustainable outlook of the mergers and acquisitions (M&A) market. With 61% of Canadian respondents expecting to pursue acquisitions in the next 12 months, Canada is the most bullish in the Americas and well ahead of the 50% of global respondents. Further strengthening the outlook on the Canadian M&A market is that 54% of respondents report that acquisitions are on the agendas of their boards of directors compared to only 5% from six months ago. Looking at the insurance sector, based on 2014 direct premiums written, Canada’s five largest insurers accounted for approximately 47% of the market — fragmented in comparison to Canada’s banking and life insurance sectors. The combined share of the top five players in those businesses ranges from 65% to 75%. Consolidation in the Canadian p&c market will continue in 2016 and beyond. Over the last three years the market has been consolidating as the largest players continue to acquire competitors and the trend continues in 2016. Omni-channel approach Insurers need to think about where they might have gaps in their business and if filling those gaps with M&As is possible. Recent acquisitions have shown that large insurers, rather than starting from scratch, are looking to add to their distribution channel mix through acquisitions. The goal of those buyers is to have an omni-channel approach. Through M&As, insurers can improve product offerings or underwriting teams; improve data collection activities; and add run-off operations to leverage stronger balance sheets and claim settlement capabilities. May 2016 Canadian Underwriter 47 anada 1% 4% 3% 8% 9% right expertise to properly weigh its options, plan and execute seamless integration, and preserve value by avoiding business disruption. Why use Fintech? The top reasons FinTech users give Easy to set up an account 43.4% 43.8% sound integration Carrying out a transaction, even a megadeal, does not, in and of itself, create transformation. Transactions simply cre20.4% ate the conditions for transformation to Access to different 12.4% occur. products and services Why use Fintech? 13.6% Transformation requires a fundamental re-evaluation of how the combined 11.2% reasons FinTech users givebusinesses will operate after the deal. It Better online experience The top 7.4% and functionality is a lot more than a standard acquisition Easy to set up an account 43.4% and integration process. These challeng10.3% 43.8% Better quality of services es are multiplied when M&A activity 9.9% crosses borders or regulations change 15.4% More attractive rates/fees during an acquisition. That is why the 5.5% More innovative products than 20.4% creation of a sound integration plan available from traditional bank 4.3% Access to different 12.4%— weaving together finance, IT, legal, Greater level of trust than with products 1.8% actuarial and other internal processes and services 13.6% traditional institutions 0.6% — is just as important as choosing the 11.2%right target in an insurer’s M&A strategy. Better online experience A successful M&A depends on having 7.4% and functionality Note: Respondents selected the most important reasons the right due diligence team involved 10.3% throughout the transaction lifecycle. Better quality of services 9.9% This includes actuarial support to idenCompanies that develop well-thought- of acquisition opportunities, with 88% out integration plans can reduce costs of respondents reporting that they have tify the key risk areas, financial exper5.5% More innovative than walked awayproducts from a proposed transacand achieve back-office synergies tise to identify risks and items impactavailable from traditional bank tion. When looking at recently completthrough acquisitions. ing enterprise value, an appropriate tax 4.3% Some p&c carriers are acquiring other ed transactions, Canadian respondents team to structure the deal effectively, IT Results survey of senior executives from large companies Greatercited level of trust than with 1.8% failure to achieve synergies as the experts to allow for proper integration, firms in of order to increase economies traditional institutions 0.6%not regulatory experts aware of upcomof scales, diversify geographic concen- primary reason for a transaction Global tration, enter into new markets and meeting expectations. ing changes and future considerations Expect to create jobs / hire talent in the next 12 months 28% To counter this, there is an increased across all countries involved, support product lines, acquire new distribution Note: Respondents selected the most important reasons Say discussion about sell acquisitions have been elevated to the boardroom agenda focus on due diligence and pre-closing 28% channels, unprofitable businesses during the negotiation phase, integraBelieve that valuation gap (i.e. gap between buyer integration and seller expectations) is lesslook thanto 10% work, as buyers get 52% andthe create new alliances. tion planning and management asit right before completing a transaction. EY’s Capital Confidence Barometer notes sistance, and financial and operational Are willing to walk away from deals 85% Whatever the purpose of the acquisi- restructuring experts. It is imperative that Canadians are being more disciLikely to pursue a cross-border acquisition opportunity in the next 12 months 74% plined and prudent in their evaluation tion, it is vital that a company has the that, post-merger, management teams More attractive rates/fees 15.4% rom EY Canada’s latest Capital Confidence Barometer, released May 2016 Results of survey of senior executives from large companies Canada Global 61% Expect to create jobs / hire talent in the next 12 months 28% 54% Say discussion about acquisitions have been elevated to the boardroom agenda 28% 83% Believe that the valuation gap (i.e. gap between buyer and seller expectations) is less than 10% 52% 88% Are willing to walk away from deals 85% 79% Likely to pursue a cross-border acquisition opportunity in the next 12 months 74% From EY Canada’s latest Capital Confidence Barometer, released May 2016 48 Canadian Underwriter May 2016 continue to look closely at the strategic objectives of the deal and ensure that they are pulling all of the levers available to achieve the target end state. Face it: not every insurer can jump on the M&A trend. Whether it is better to build than buy, a lack of capital, or lack of appropriate gap-filling targets, insurers that do not acquire other firms will need a strategy to compete more effectively against larger, better capitalized companies. Hiring people will become paramount, as will accessing distribution that provides high-retention, profitable business. Smaller insurers will be forced to cut costs to compete against larger insurers. Examples of cost-containment strategies could include system upgrades, process automation and claims strategic sourcing. Focusing on improving the customer experience is also an important growth lever. Accelerating growth begins by moving from a transactional to a relationship view of the customer. Rather than focusing on the number of products customers buy, insurers should weigh the strength and length of their customer relationships. Personalizing sales and marketing strategies and enriching the customer experience is critical to making this shift, which insurers are driving through better use of data and analytics. Learn from fintechs Traditional insurance firms can also learn from the approach of fintechs in the customer proposition and using technology to deliver value and convenience. Identifying which customers are most at risk from the new competition — and developing new products and services to retain them — is a must. It is important to note that although some insurers will be seen as vulnerable to takeovers given all of the M&A activity in 2016, others should look to take advantage of it. Companies that divest of non-core areas could potentially be seen as a good fit for an acquirer. This insBlogs could help raise the capital required to orities in this rapidly evolving environemploy a more effective competition ment. The M&A strategy is just one of strategy. But in order to be successful, those components. Ensuring a company companies that diversify their busi- has the organizational capacity to take nesses, with options other than M&As, on another initiative is critical to the need to be just as well-thought-out as success of whichever M&A strategy is companies that are acquiring — from selected. Reviewing all company prioriplanning, to implementation, to track- ties and building the capacity to be able ing progress and financial results. to effectively handle each of these conInsurers haveInsurance many competing priflicting priorities is paramount. Blogs hosted by Canadian Underwriter insBlogs Recent Blog Posts Featured on insBlogs.com Insurance Blogs hosted by Canadian Underwriter The launch of Sonnet Insurance. A game changer? by Peter Morris – May 10 Sneak Peek: Cyberrisk and Cyberinsurance by Christian Bieck – May 9 SCC Dismisses Leave Applications in Loss Transfer Laches Cases by Daniel Strigberger – May 5 A new age of supply chain disruption by Glenn McGillivray – Apr 28 Benefit Cuts Lead To Modest Rate Reductions by Willie Handler – Apr 26 A great opportunity to show the value brokers can offer consumers by Peter Morris – Apr 14 ONCA Clarifies Discoverability in Limitation Periods by Daniel Strigberger – April 6 Our storm sewers can’t handle today’s extremes, they never really could by Glenn McGillivray – Apr 1 ONSC: Excluded Driver is Not a Listed Driver for SABS Coverage by Daniel Strigberger – Mar 23 May 2016 Canadian Underwriter 49 MOVES & VIEWS upcoming events: for a complete list visit www.canadianunderwriter.ca and click ‘my events calendar’ on the home page 1 Former British Columbia cabinet minister Barry Penner (1) was appointed chair of the Board of Directors for the Insurance Corporation of B.C. as of March 31. Most recently senior counsel and strategic advisor for Penner Pacific Advisory Services, Penner has served as the province’s environment minister, attorney general, minister of aboriginal relations and reconciliation and deputy house leader. Penner, whose appointment runs to March 31, 2019, replaces Ronald Olynyk, who has served as interim chair since December 31. 2 Zurich Canada has named Patrick Healey [2] as senior vice president of distribution and regional management, effective May 1. Toronto-based Healey, who will work with members of the company’s Canadian senior management team, will be responsible for leading and managing broker relationships. Among other positions with the insurer, he has been vice president and national segment head for Zurich North America’s Commercial Markets business unit. 3 Linda Regner Dykeman assumed responsibilities on April 18 as 50 Canadian Underwriter May 2016 head of mid-corp, Canada for Allianz Global Corporate & Specialty (AGCS), Allianz Group’s dedicated carrier for the corporate and specialty insurance business. Based in Toronto, Dykeman oversees more than 20 underwriters in her new role, the company reports. She joins AGCS from Travelers Canada, where she served as head of business insurance, responsible for Canada’s business insurance strategy. 4 In late March, insurance software provider Vertafore announced the closing of the acquisition of Keal Technology, a Concord, Ontario-based provider of broker and commercial management systems in Canada. Keal Technology president Patrick Durepos [4] will work directly with Greg Wright, senior vice president of agency and carrier solutions for Vertafore. Durepos will focus on specialized product development. Keal will continue to maintain its own brand and identity. 5 ClaimsPro has announced Fred Plant [5], current senior vice president (SVP) of the company’s Atlantic region, will take on tasks in the newly created national role of SVP of London Open Market. Reporting to president Ross Betteridge, Plant will focus 1 2 8b 9 on field adjusting services for the open market insurance offerings of Lloyd’s, notes a ClaimsPro statement. Plant is also president of the Canadian Independent Adjusters’ Association. In his new role at ClaimsPro, Plant will work to expand the firm’s offerings to Canadian brokers. As part of the company’s new organizational structure for the region, ClaimsPro has further announced Wayne Guy will resume full accountability of Atlantic Canada operations as vice president of operations, Atlantic Canada; Peter Gormley will serve as district manager, New Brunswick West; Calvin Roberts will be district manager, New Brunswick East and Prince Edward Island; and Michael Connolly takes on the role of branch manager, overseeing the Nova Scotia offices of Halifax and Coldbrook, following the retirement of Peter Christensen. 6 Slice Labs Inc. has recently named Michael B.C. Fitzgibbon as its vice president of insurance services and chief underwriting officer. Fitzgibbon has 28 years of experience as an underwriter and broker. He has held senior leadership positions with Marsh, has coowned and was president of a regional independent insurance agency, and has been an underwriting and product manager at CNA, reports New York-based Slice. He will lead product and policy MOVES & VIEWS MOVES & VIEWS of Calgary; Gordon Adams; Robert Cartwright, Jr.; Al Gorski; Leslie Lamb; John Phelps; Michael Phillipus; Frederick Savage; and Lori Seidenberg. 3 4 9 positions have included general adjuster, branch manager, 10a vice president of operations development, underwriting, and Lloyd’s Division leader. actuarial and insurer engagement, company statement adds. Macdonald Chisholm 6 7 Trask Insurance (MCT) BrokerLink’sinacquisiannounced early & Januarytion thatofitBerglund will join propDubray Insurance erty and casualty brokerage Services Inc. establishes BrokerLink. The terms of the its service footprint the transaction were not in disAlberta communities of closed, notes a statement Edson and Hinton. Sonny from BrokerLink. BrokerLink Bennett, president of companies, subsidiaries of Berglund & Dubray Insurance Intact Financial Corp., Services, herserving team include 84“and offices will be in vital in helping us clients Atlantic Canada, serve the local needs of Alberta and Ontario. Dating customers,” says back more than 60Keith years, Jerke, head of Alberta forinMCT has more than 110 BrokerLink. BrokerLink surance professionals in has 18 also acquired four brokeroffices. Michael Brien, who agesled in MCT Ottawa, has overoperating the last 12 as Beardsley Laundy Finnie years, joins BrokerLink as Group The group will head ofLtd. its Atlantic operations. 5 5 10 7 10b Carolyn Snow [7] will lead RIMS as president join BrokerLink as part of for the 2014 term, four separate transactions, which took effect January 1. meaning it will Snow, who has acquire been onthe the business operations of G.K. RIMS Board of Directors for Finnie & Son isInsurance seven years, currentlyLtd./ diCampbell & Moore Insurance rector of risk management for Ltd., McGuire & Laundy Humana Inc. She previously Insurance Brokerstreasurer, Ltd., served as RIMS’s Beardsley Insurance secretary and directorBrokers of Ltd., andaffairs. David Morris external The RIMS Insurance Management Ltd., board for 2014 also includes all of which operate out vice president Richard of aRoberts, single location in Ottawa. Jr.; treasurer Julie David Finnie,corporate Phil Laundy, Pemberton; secreGord Beardsley and David tary Nowell Seaman, director Morris willrisk joinmanagement BrokerLink for of global as account executives, Potash Corporation of and BrokerLink will welcome 15 Saskatchewan Inc.; Gloria employees. Brosius; Steve Pottle, director 8 of risk management services Co-operators has at YorkThe University; Jennifer welcomed two new Santiago; Janet Stein, direcdirectors, both from tor of risk management and Alberta, to at thethe insurance and insurance University 8 As of January 8, Toronto insurance broker Jones DesLauriers Insurance Management Inc. 8a (JDIMI) had acquired Whitley Insurance and Financial Serfinancial services co-oper-has vices. Whitley Insurance ative’s of Directors. offices Board in Belleville, Ontario Hazel Corcoran (8a) and and the nearby communities Bob Petryk (8b) will of Trenton, Deserontoreplace and retiring Dave Abel Stirling.directors “The acquisition is and AlberttoDe Boer. Corcoran expected build a solid is the executive director of presence for JDIMI in Eastern the Canadian Worker the Co- firm Ontario and position operative Federation. to better service their Petryk clients, has managingcommerdirector withbeen strengthened of Petwin Bancorpinsurance Inc. for cial and personal 15 years and serves onand the a offerings in the region board of Credit Union Central new financial services diviof Alberta (CUCA). sion,” notes a statement from 9 JDIMI. President and CEO Restoration ShawnFirstOnSite DeSantis will lead the has reached a teams LP from both companies. definitive asset purLoris Clarke [8] has been chase Texasnamedagreement successor with to Paul based Interstate Restoration Whitley, president of Whitley LLC, in which will Insurance, whothe willlatter remain acquire the former. Terms during a transition period. of the agreement, subject to court approval, were not disclosed, Kenreports RaynerFirstOnSite [9] has Restoration Inc., the joinedG.P. Anderson generalMcTague partner of & FirstOnSite Associates Restoration LP. Joining forces Ltd. as its director of busiwill produce North America’s ness development, Central second independent Region.largest “Ken brings a wealth restoration and of experience toreconstruction our comservice provider. pany, having held“Interstate various Restoration complements senior management positions our service,” says withCanadian insurers and other MGAs,” 9 says Chuck McTague, president of Anderson McTague & Associates, a familyowned MGA based in New Dave DemosIn[9], chief exBrunswick. January, Anecutive officer of & FirstOnSite derson McTague Associates Restoration. announced itThe wastransaction expanding, will be implemented by adding an office in Toronto to way of proceedings under service the brokers of Ontario the Creditors andCompanies’ Manitoba. Rayner’s Arrangement Act and isthe appointment confirms expected to close in less to company’s “commitment than two months. the Ontario/Manitoba marketplace, and to the building of FIRST Insurance a local support team to assist of brokers withFunding their surplus Canadatorecently lines and difficult place welcomed Alex Husain [10a] business,” McTague adds. as its new relationship manager, Alberta and Prairies, and The Sébastien Guarantee Hamel [10b]Company as its relaof tionship manager, North Atlantic America Provinces. With that moreTara than has announced 20 years of industry experiWishart [10] became vice ence, Husain’s “strength president of claims for the in relationship manageinsurer’s Toronto branch on ment and brand marketing December 2, 2013. Having combined with his ability 21 years of experience in to The adopt innovation and collaboGuarantee’s claims ration to build a competitive department, Wishart will be advantage responsiblefor forhis theclients operations make a valuable of the him Toronto Branchasset Claims. for our broker partners in his She first joined The Guaranregion,” notes a statement tee in 1995 as an adjuster from the held company, which and has roles of increasprovides payment products ing seniority with the comfor insurance providers. pany, including, most Hamel, his part, bringsfor recently,for claims manager to his postlines. moreWishart than eight specialty is a years of sales experience member of both the Surety with technological organizaAssociation of Canada and tions within the insurance the Canadian Association of industry. Women in Construction. 10 10 Follow @CdnUnderwriter on http://twitter.com/CdnUnderwriter May 2016 Canadian Underwriter 51 February 2014 Canadian Underwriter 57 APPOINTMENT GALLERY Joseph El-Sayegh SCOR is pleased to announce the appointment of Mr. Joseph El-Sayegh as President and Chief Executive Officer, SCOR Canada Reinsurance Company. Mr. El-Sayegh joined SCOR Canada in 2000. His prior responsibilities at SCOR include Property & Casualty Chief Underwriting Officer for Canada, underwriting manager for the Québec market and Risk Manager for SCOR Canada. Prior to joining SCOR in 2000, he was Branch Manager for Property Facultative in the MiddleEast for Gen Re; and Underwriter and Loss Prevention engineer for FM Global in Montréal. Joseph holds a Bachelor of Engineering degree from the Ecole Polytechnique de Montréal in addition to being a Chartered Insurance Professional (CIP) and CRM. SCOR Canada Reinsurance Company operates in Canada and is part of the SCOR group, the fifth largest reinsurer in the world. SCOR has a worldwide network of over 2,000 professionals operating from 38 offices across 5 continents structured around 4 Hubs. www.scor.com 52 Canadian Underwriter May 2016 WINMAR Toronto/Brampton, Burlington/Hamilton, Durham, Guelph/Orangeville, Markham, Newmarket, Oakville/Mississauga hosted “The Better Late Than Never Christmas Party” in support of Wounded Warriors at The Real Sports bar in Toronto February 18, where $3,000 was raised. Guests enjoyed great food and drinks, prize giveaways and watched the Leafs take on the New York Rangers. APPOINTMENT GALLERY RSA Canada hosted a series of Strategy Sessions this spring in Toronto, Calgary, Vancouver and Montreal. The events provided an opportunity for RSA’s executive team – Rowan Saunders, Donna Ince and Martin Thompson – to engage with its closest broker partners in each market. They presented results of RSA’s transformation in 2015, shared insights on the future of the insurance industry, and unveiled RSA’s plans for 2016. Neil Ringrose SCOR is pleased to announce the appointment of Mr. Neil Ringrose as Senior Vice President, Canadian National Manager - Business Solutions, SCOR Canada Reinsurance Company and Chief Agent, SCOR Insurance – Canadian Branch, SCOR UK Company Limited. Mr. Ringrose joined SCOR Canada in 1997. Prior to the promotion, Neil was Vice President, Canadian National Manager - Business Solutions for SCOR Canada Reinsurance Company, overseeing the Canadian large industrial risk facultative operations, which included the development, underwriting and servicing of the Company’s Canadian Business Solutions’ clients. Additionally, Neil has been instrumental in co-leading the SCOR UK Company Limited initiative to establish SCOR Insurance – Canadian Branch in Canada. Neil’s professional experience prior to joining SCOR Canada included senior executive sales and senior loss prevention engineering roles within large, international insurance firms, in both Canada and the UK. Neil holds a Bachelor of Engineering degree from the Southampton University in the UK. SCOR Canada Reinsurance Company operates in Canada and is part of the SCOR group, the fifth largest reinsurer in the world. SCOR has a worldwide network of over 2,000 professionals operating from 38 offices across 5 continents structured around 4 Hubs. www.scor.com May 2016 Canadian Underwriter 53 GALLERY WICC Ontario held its 20th Gala Dinner, “Unmasked – 20 Years of Uncovering a Cure” on April 6 at the Westin Harbour Castle Hotel in Toronto. The evening’s emcee was Don Martin (brother of Paul Martin of RRJ Insurance Group), a Canadian television and newspaper journalist, and host of Power Play on CTV News Channel. WICC dinner co-chairs Laurel DiMaso and Sandy MacSpadyen presented a $200,000 cheque from WICC to Patricia George and Susan Drodge of the Canadian Cancer Society. WICC co-chairs Ellen Moore and Marilyn Horrick acknowledged WICC’s Tribute Recognition initiative – the seven WICC Tributes currently 54 Canadian Underwriter May 2016 established have raised more than $115,000, including Tributes for Leona Charbonneau, Cristina De Vargas, Linda Hajekerou, Mary Goodbrand, Jamie Knowles, Jim McRae and Micki Traikos. Gold Flame Awards, recognizing significant contributions to WICC, went to Heartland Farm Mutual Insurance, OIAA-Windsor and SPECS. The Hall of Flame Award went to Enterprise Canada Ltd. and the Lew Dunn Memorial Award was presented to Enterprise Canada Ltd. Now celebrating its 20th Anniversary, since WICC’s inception in 1996, the Canadian p&c insurance industry has raised more than $12.6 million for cancer research. GALLERY May 2016 Canadian Underwriter 55 GALLERY Crawford & Company (Canada) Inc. kicked off the RIMS (Risk & Insurance Management Society) 2016 Conference & Exhibition with its annual RIMS Conference Client Event, which was held on April 9 at the House of Blues San Diego. An enjoyable evening was had by all, filled with live music by local up-and-comer, Ryan Hiller, and an array of tantalizing canapés and hors d’oeuvres. 56 Canadian Underwriter May 2016 APPOINTMENT GALLERY On April 10, immediately following RIMS Opening Reception in San Diego’s Gaslamp Quarter, AIG held its RIMS 2016 Conference & Exhibition Reception at Petco Park, home of the San Diego Padres. Guests were treated to a true night at the ballpark, complete with all the culinary fixings. Lana Kelly Insurance Woman of the Year 2015 The Canadian Association of Insurance Women is pleased to announce the 2015 Insurance Woman Of The Year has been awarded to Lana Kenny of the Nova Scotia Insurance Women’s Association. Over the past 29 years Lana has worked in personal and commercial lines, and is an Account Executive Officer in the Select, Business Insurance Department for Atlantic Canada at Travelers Canada. Lana is a passionate insurance professional, a determined volunteer, a devoted advocate for women and committed member of the Nova Scotia Insurance Women’s Association and the Canadian Association of Insurance Women. The Nova Scotia Insurance Women’s Association is a nonprofit association for women and men, which promotes education, professional development, and networking among its members. The Canadian Association of Insurance Women is a national association that provides a forum for insurance professionals to showcase their dedication to the consumer and the industry through programs such as the Insurance Information Campaign. Lana’s own personal tragedy in her family motivated her to be an advocate to eliminate violence again women. In December 2005, Lana’s sister, Paula Gallant, a 36 year old mother and grade three teacher, was murdered in a domestic violence incident. Inspired by her sister’s life and legacy, Lana and her sister, Lynn have worked to give a voice to the many women and victims who may not have, or no longer have, the opportunity to have a voice. They have worked with politicians, the public and the media to create awareness for the rights and needs of victims, and bring justice for her sister, Paula. Lana was recognized in the legislature and was awarded a Democracy 250 Award for her efforts in creating awareness about violence again women. Lana is also a full-time mom and along with her husband they are raising Paula’s daughter, along with their two children, in Hammonds Plains, Nova Scotia. The Insurance Woman Of The Year award is the highest honour given. Each nominee is judged on her dedication to the Association (both CAIW and her local Association), the Insurance Industry and the public. www.caiw-acfa.com May 2016 Canadian Underwriter 57 GALLERY More than 400 exhibitors filled the Exhibit Hall at the RIMS 2016 Conference & Exhibition April 10 to13 in San Diego. Held at the San Diego Convention Centre, the show floor bustled with thousands of delegates from throughout North America and around the globe. The booths offered unlimited opportunities for learning, networking and sharing. 58 Canadian Underwriter May 2016 GALLERY May 2016 Canadian Underwriter 59 GALLERY Canadian delegates of the RIMS 2016 Conference & Exhibition in San Diego gathered with their U.S. and international risk management friends at Canada Night on April 12, hosted by SCM Insurance Services and the Canadian Litigation Counsel. The event provided delegates a chance to connect and network while enjoying fine food, drinks, entertainment and a great Californian sunset. 60 Canadian Underwriter May 2016 GALLERY May 2016 Canadian Underwriter 61 APPOINTMENT GALLERY Jamie Lyons Guardian Risk Managers Ltd. is pleased to announce the appointment of Jamie Lyons as President of Guardian Risk Managers Ltd. Jamie brings a wealth of insurance and industry knowledge to the organization, having spent the past 13 years with Guy Carpenter & Company in Toronto (part of Marsh & McLennan Companies), most recently as Managing Director and a member of the Canadian Senior management team. He previously held positions in merchant banking with Canadian Corporate Funding Limited, in Investment Banking with CIBC’s Mergers & Acquisitions Group in Toronto and in Strategy Consulting with Breakaway Solutions in Boston, MA. In this role, Jamie will oversee all aspects of the organization and will be responsible for development and oversight of the strategic growth plan for Guardian. Formed in 2006, Guardian is a leading MGA provider of commercial lines and niche personal lines products, including specialty and high value habitational risks. Guardian currently provides these products to over 500 brokerages across Canada. ConTACT InFoRMATIon Media Contacts: Guardian Risk Managers Ltd. David Lyons, Vice President, Personal Lines Phone: 604.522.8870 [email protected] www.guardianrisk.com 62 Canadian Underwriter May 2016 More than 200 senior insurance industry executives gathered in Toronto for the Swiss Re 2016 Canadian Outlook Breakfast on April 6 at One King West Hotel in Toronto. Attendees got their first look at the Canadian p&c industry’s 2015 results and learned about market trends, economic factors and outlook for 2016. Speakers included Veronica Scotti, the president and CEO of Swiss Re Canada; Philip Ryan, chairman, Swiss Re Americas Holding Corporation; and David McGown, senior vice president of strategic initiatives for Insurance Bureau of Canada. SAVE THE DATE! Annual WICC Québec fundraising event to benefit the Canadian Cancer Society TUESDAY OCT 2016 25 C alm & Le Windsor Hotel, Montreal Come relea flexibility w help co Uniting the industry in the Fight for Life Mont Registration and payment: wicc.ca/qc For information: Holly A. Moore 1 800 361 8200, ext. 5315 Jo-Anne Polidoro 1 800 361 8200, ext. 5242 Water is beautiful. Until it isn’t. Protection from overland water damage – brought to you first by Aviva* Heavy rains Spring run-off Overflow from lakes and rivers avivawaterprotection.ca Insurance – Home | Auto | Leisure & Lifestyle | Business | Surety Aviva, proud Canadian partner to 1500 independent brokers from coast to coast. 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